Heights University Hospital

All Charges

Charge

Type

Setting

Price

PAP IMAGE GUIDED, HPV HIGH RIS

Facility

$672.00

Service Code	HCPCS 88175
Hospital Charge Code	3038081B
Hospital Revenue Code	311
Min. Negotiated Rate	$13.30
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$86.22
Rate for Payer: Aetna Medicare Advantage	$26.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.50
Rate for Payer: Cigna Commercial	$26.61
Rate for Payer: Cigna Medicare Advantage	$13.30
Rate for Payer: Clover Medicare Advantage	$25.28
Rate for Payer: EmblemHealth Commercial	$79.83
Rate for Payer: Humana Medicare Advantage	$27.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.36
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.61
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$28.21
Rate for Payer: Wellcare Medicare Advantage	$26.61

PAP IMAGE GUIDED, HPV HIGH RIS

Facility

$672.00

Service Code	HCPCS 88175
Hospital Charge Code	3038081B
Hospital Revenue Code	311
Min. Negotiated Rate	$100.80
Max. Negotiated Rate	$100.80
Rate for Payer: Qualcare PPO/HMO/WC	$100.80

PAP LQD PREPARATION

Facility

$143.50

Service Code	HCPCS 88142
Hospital Charge Code	3037071
Hospital Revenue Code	311
Min. Negotiated Rate	$21.52
Max. Negotiated Rate	$21.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.52

PAP LQD PREPARATION

Facility

$143.50

Service Code	HCPCS 88142
Hospital Charge Code	3037071
Hospital Revenue Code	311
Min. Negotiated Rate	$10.13
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$65.64
Rate for Payer: Aetna Medicare Advantage	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.23
Rate for Payer: Cigna Commercial	$20.26
Rate for Payer: Cigna Medicare Advantage	$10.13
Rate for Payer: Clover Medicare Advantage	$19.25
Rate for Payer: EmblemHealth Commercial	$60.78
Rate for Payer: Humana Medicare Advantage	$20.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.66
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.52
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.26
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21.48
Rate for Payer: Wellcare Medicare Advantage	$20.26

PAP LQD PREP HPV HIGH+LOW III

Facility

$143.50

Service Code	HCPCS 88142
Hospital Charge Code	3037070C
Hospital Revenue Code	311
Min. Negotiated Rate	$21.52
Max. Negotiated Rate	$21.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.52

PAP LQD PREP HPV HIGH+LOW III

Facility

$143.50

Service Code	HCPCS 88142
Hospital Charge Code	3037070C
Hospital Revenue Code	311
Min. Negotiated Rate	$10.13
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$65.64
Rate for Payer: Aetna Medicare Advantage	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.23
Rate for Payer: Cigna Commercial	$20.26
Rate for Payer: Cigna Medicare Advantage	$10.13
Rate for Payer: Clover Medicare Advantage	$19.25
Rate for Payer: EmblemHealth Commercial	$60.78
Rate for Payer: Humana Medicare Advantage	$20.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.66
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.52
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.26
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21.48
Rate for Payer: Wellcare Medicare Advantage	$20.26

PAP SMEAR

Facility

$147.76

Service Code	HCPCS Q0091
Hospital Charge Code	87502740
Hospital Revenue Code	770
Min. Negotiated Rate	$19.21
Max. Negotiated Rate	$73.88
Rate for Payer: Aetna Commercial	$44.33
Rate for Payer: Aetna Medicare Advantage	$44.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.68
Rate for Payer: Cigna Commercial	$68.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.21
Rate for Payer: Oxford Commercial	$73.88
Rate for Payer: Qualcare PPO/HMO/WC	$22.16
Rate for Payer: UnitedHealthcare Commercial	$73.88

PAP SMEAR

Facility

$147.76

Service Code	HCPCS Q0091
Hospital Charge Code	87502740
Hospital Revenue Code	770
Min. Negotiated Rate	$22.16
Max. Negotiated Rate	$22.16
Rate for Payer: Qualcare PPO/HMO/WC	$22.16

PAP SMEAR + HPV II

Facility

$143.50

Service Code	HCPCS 88142
Hospital Charge Code	3037035B
Hospital Revenue Code	311
Min. Negotiated Rate	$21.52
Max. Negotiated Rate	$21.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.52

PAP SMEAR + HPV II

Facility

$143.50

Service Code	HCPCS 88142
Hospital Charge Code	3037035B
Hospital Revenue Code	311
Min. Negotiated Rate	$10.13
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$65.64
Rate for Payer: Aetna Medicare Advantage	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.23
Rate for Payer: Cigna Commercial	$20.26
Rate for Payer: Cigna Medicare Advantage	$10.13
Rate for Payer: Clover Medicare Advantage	$19.25
Rate for Payer: EmblemHealth Commercial	$60.78
Rate for Payer: Humana Medicare Advantage	$20.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.66
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.52
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.26
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21.48
Rate for Payer: Wellcare Medicare Advantage	$20.26

PAP SMEAR (NON-REVIEW CERVICAL

Facility

$192.00

Service Code	HCPCS 88150
Hospital Charge Code	38474022
Hospital Revenue Code	311
Min. Negotiated Rate	$9.27
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$60.07
Rate for Payer: Aetna Medicare Advantage	$18.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.93
Rate for Payer: Cigna Commercial	$18.54
Rate for Payer: Cigna Medicare Advantage	$9.27
Rate for Payer: Clover Medicare Advantage	$17.61
Rate for Payer: EmblemHealth Commercial	$55.62
Rate for Payer: Humana Medicare Advantage	$19.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.96
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.54
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.65
Rate for Payer: Wellcare Medicare Advantage	$18.54

PAP SMEAR (NON-REVIEW CERVICAL

Facility

$192.00

Service Code	HCPCS 88150
Hospital Charge Code	38474022
Hospital Revenue Code	311
Min. Negotiated Rate	$28.80
Max. Negotiated Rate	$28.80
Rate for Payer: Qualcare PPO/HMO/WC	$28.80

PAPVERINE INJ/30MG/ML

Facility

$18.00

Hospital Charge Code	60634266
Hospital Revenue Code	636
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$4.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.36
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

PAPVERINE INJ/30MG/ML

Facility

$18.00

Hospital Charge Code	60634266
Hospital Revenue Code	636
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$5.40
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.36
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

PARA-AMINOBENZOIC ACID (PABA)

Facility

$333.00

Service Code	HCPCS 84999
Hospital Charge Code	38472521
Hospital Revenue Code	301
Min. Negotiated Rate	$49.95
Max. Negotiated Rate	$49.95
Rate for Payer: Qualcare PPO/HMO/WC	$49.95

PARA-AMINOBENZOIC ACID (PABA)

Facility

$333.00

Service Code	HCPCS 84999
Hospital Charge Code	38472521
Hospital Revenue Code	301
Min. Negotiated Rate	$43.29
Max. Negotiated Rate	$166.50
Rate for Payer: Aetna Commercial	$99.90
Rate for Payer: Aetna Medicare Advantage	$99.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.92
Rate for Payer: Cigna Commercial	$166.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.29
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.95
Rate for Payer: UnitedHealthcare Commercial	$114.00

PARACENTESES******

Facility

$168.00

Hospital Charge Code	8002321
Hospital Revenue Code	279
Min. Negotiated Rate	$21.84
Max. Negotiated Rate	$84.00
Rate for Payer: Aetna Commercial	$50.40
Rate for Payer: Aetna Medicare Advantage	$50.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.84
Rate for Payer: Cigna Commercial	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.84
Rate for Payer: Oxford Commercial	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.20
Rate for Payer: UnitedHealthcare Commercial	$84.00

PARACENTESES******

Facility

$168.00

Hospital Charge Code	8002321
Hospital Revenue Code	279
Min. Negotiated Rate	$25.20
Max. Negotiated Rate	$25.20
Rate for Payer: Qualcare PPO/HMO/WC	$25.20

PARACENTESIS SAFETY PROCEDURE

Facility

$190.00

Hospital Charge Code	270659868
Hospital Revenue Code	272
Min. Negotiated Rate	$24.70
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$57.00
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.70
Rate for Payer: Oxford Commercial	$95.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$95.00

PARACENTESIS SAFETY PROCEDURE

Facility

$190.00

Hospital Charge Code	270659868N
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

PARACENTESIS SAFETY PROCEDURE

Facility

$190.00

Hospital Charge Code	270659868
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

PARACENTESIS SAFETY PROCEDURE

Facility

$190.00

Hospital Charge Code	270659868N
Hospital Revenue Code	272
Min. Negotiated Rate	$24.70
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$57.00
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.70
Rate for Payer: Oxford Commercial	$95.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$95.00

PARACENTESIS W/IMAGE

Facility

$1,693.00

Service Code	HCPCS 49083
Hospital Charge Code	93500147
Hospital Revenue Code	761
Min. Negotiated Rate	$220.09
Max. Negotiated Rate	$2,159.89
Rate for Payer: Aetna Commercial	$507.90
Rate for Payer: Aetna Medicare Advantage	$507.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$431.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$431.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$431.71
Rate for Payer: Cigna Commercial	$2,159.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.09
Rate for Payer: Oxford Commercial	$846.50
Rate for Payer: Qualcare PPO/HMO/WC	$253.95
Rate for Payer: UnitedHealthcare Commercial	$846.50

PARACENTESIS W/IMAGE

Facility

$1,693.00

Service Code	HCPCS 49083
Hospital Charge Code	93500147
Hospital Revenue Code	761
Min. Negotiated Rate	$253.95
Max. Negotiated Rate	$253.95
Rate for Payer: Qualcare PPO/HMO/WC	$253.95

PARACENTESIS W IMAGING

Facility

$2,422.65

Service Code	HCPCS 49083
Hospital Charge Code	3400125
Hospital Revenue Code	361
Min. Negotiated Rate	$363.40
Max. Negotiated Rate	$363.40
Rate for Payer: Qualcare PPO/HMO/WC	$363.40

Know your out-of-pocket cost for care.

All Charges