Heights University Hospital

All Charges

Charge

Type

Setting

Price

PARACENTESIS W IMAGING

Facility

$2,422.65

Service Code	HCPCS 49083
Hospital Charge Code	3400125
Hospital Revenue Code	361
Min. Negotiated Rate	$314.94
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$726.79
Rate for Payer: Aetna Medicare Advantage	$726.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$617.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$617.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$617.78
Rate for Payer: Cigna Commercial	$2,159.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.94
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$363.40
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

PARACENTESIS W/O IMAGING

Facility

$2,422.65

Hospital Charge Code	93500186
Hospital Revenue Code	761
Min. Negotiated Rate	$314.94
Max. Negotiated Rate	$1,211.33
Rate for Payer: Aetna Commercial	$726.79
Rate for Payer: Aetna Medicare Advantage	$726.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$617.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$617.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$617.78
Rate for Payer: Cigna Commercial	$1,211.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.94
Rate for Payer: Oxford Commercial	$1,211.33
Rate for Payer: Qualcare PPO/HMO/WC	$363.40
Rate for Payer: UnitedHealthcare Commercial	$1,211.33

PARACENTESIS W/O IMAGING

Facility

$2,422.65

Hospital Charge Code	93500186
Hospital Revenue Code	761
Min. Negotiated Rate	$363.40
Max. Negotiated Rate	$363.40
Rate for Payer: Qualcare PPO/HMO/WC	$363.40

PARACENTESIS W/O IMAGING GUIDA

Facility

$2,422.65

Service Code	HCPCS 49082
Hospital Charge Code	3400124
Hospital Revenue Code	361
Min. Negotiated Rate	$363.40
Max. Negotiated Rate	$363.40
Rate for Payer: Qualcare PPO/HMO/WC	$363.40

PARACENTESIS W/O IMAGING GUIDA

Facility

$2,422.65

Service Code	HCPCS 49082
Hospital Charge Code	3400124
Hospital Revenue Code	361
Min. Negotiated Rate	$314.94
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$726.79
Rate for Payer: Aetna Medicare Advantage	$726.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$617.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$617.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$617.78
Rate for Payer: Cigna Commercial	$2,159.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.94
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$363.40
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

PARACENTESIS W/O IMAGING GUIDA

Facility

$2,422.65

Service Code	HCPCS 49082
Hospital Charge Code	1001115
Hospital Revenue Code	361
Min. Negotiated Rate	$314.94
Max. Negotiated Rate	$3,687.00
Rate for Payer: Aetna Commercial	$726.79
Rate for Payer: Aetna Medicare Advantage	$726.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$617.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$617.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$617.78
Rate for Payer: Cigna Commercial	$2,159.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.94
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$363.40
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

PARACENTESIS W/O IMAGING GUIDA

Facility

$2,422.65

Service Code	HCPCS 49082
Hospital Charge Code	1001115
Hospital Revenue Code	361
Min. Negotiated Rate	$363.40
Max. Negotiated Rate	$363.40
Rate for Payer: Qualcare PPO/HMO/WC	$363.40

PARACHUTE 3.1FR

Facility

$850.50

Hospital Charge Code	270655627
Hospital Revenue Code	271
Min. Negotiated Rate	$110.56
Max. Negotiated Rate	$425.25
Rate for Payer: Aetna Commercial	$255.15
Rate for Payer: Aetna Medicare Advantage	$255.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.88
Rate for Payer: Cigna Commercial	$425.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.56
Rate for Payer: Oxford Commercial	$425.25
Rate for Payer: Qualcare PPO/HMO/WC	$127.58
Rate for Payer: UnitedHealthcare Commercial	$425.25

PARACHUTE 3.1FR

Facility

$850.50

Hospital Charge Code	270655627
Hospital Revenue Code	271
Min. Negotiated Rate	$127.58
Max. Negotiated Rate	$127.58
Rate for Payer: Qualcare PPO/HMO/WC	$127.58

PARAFFIN

Facility

$266.00

Service Code	HCPCS 97018GP
Hospital Charge Code	9107015
Hospital Revenue Code	420
Min. Negotiated Rate	$39.90
Max. Negotiated Rate	$39.90
Rate for Payer: Qualcare PPO/HMO/WC	$39.90

PARAFFIN

Facility

$266.00

Service Code	HCPCS 97018GP
Hospital Charge Code	9107015
Hospital Revenue Code	420
Min. Negotiated Rate	$34.58
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$79.80
Rate for Payer: Aetna Medicare Advantage	$79.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.83
Rate for Payer: Cigna Commercial	$133.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.58
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.90
Rate for Payer: UnitedHealthcare Commercial	$686.00

PARAFFIN CQ

Facility

$266.00

Service Code	HCPCS 97018GP
Hospital Charge Code	409197018Q
Hospital Revenue Code	420
Min. Negotiated Rate	$34.58
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$79.80
Rate for Payer: Aetna Medicare Advantage	$79.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.83
Rate for Payer: Cigna Commercial	$133.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.58
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.90
Rate for Payer: UnitedHealthcare Commercial	$686.00

PARAFFIN CQ

Facility

$266.00

Service Code	HCPCS 97018GP
Hospital Charge Code	409197018Q
Hospital Revenue Code	420
Min. Negotiated Rate	$39.90
Max. Negotiated Rate	$39.90
Rate for Payer: Qualcare PPO/HMO/WC	$39.90

PARAFON FORTE DSC/500MG/1

Facility

$6.00

Hospital Charge Code	60633609
Hospital Revenue Code	250
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$1.80
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.78
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$3.00

PARAFON FORTE DSC/500MG/1

Facility

$7.00

Hospital Charge Code	60633608
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

PARAFON FORTE DSC/500MG/1

Facility

$7.00

Hospital Charge Code	60633608
Hospital Revenue Code	250
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$3.50
Rate for Payer: Aetna Commercial	$2.10
Rate for Payer: Aetna Medicare Advantage	$2.10
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	$3.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.91
Rate for Payer: Oxford Commercial	$3.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$3.50

PARAFON FORTE DSC/500MG/1

Facility

$6.00

Hospital Charge Code	60633609
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

PARAGARD INSETION &POSTVISIT**

Facility

$188.00

Service Code	HCPCS W00001WF
Hospital Charge Code	9600018
Hospital Revenue Code	519
Min. Negotiated Rate	$24.44
Max. Negotiated Rate	$94.00
Rate for Payer: Aetna Commercial	$56.40
Rate for Payer: Aetna Medicare Advantage	$56.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.94
Rate for Payer: Cigna Commercial	$94.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.44
Rate for Payer: Qualcare PPO/HMO/WC	$28.20

PARAGARD INSETION &POSTVISIT**

Facility

$188.00

Service Code	HCPCS W00001WF
Hospital Charge Code	9600018
Hospital Revenue Code	519
Min. Negotiated Rate	$28.20
Max. Negotiated Rate	$28.20
Rate for Payer: Qualcare PPO/HMO/WC	$28.20

PARAGARD IUD

Facility

$174.00

Service Code	HCPCS J7300
Hospital Charge Code	87502780
Hospital Revenue Code	636
Min. Negotiated Rate	$26.10
Max. Negotiated Rate	$42.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.11
Rate for Payer: Qualcare PPO/HMO/WC	$26.10

PARAGARD IUD

Facility

$174.00

Service Code	HCPCS J7300
Hospital Charge Code	87502780
Hospital Revenue Code	636
Min. Negotiated Rate	$26.10
Max. Negotiated Rate	$87.00
Rate for Payer: Aetna Commercial	$52.20
Rate for Payer: Aetna Medicare Advantage	$52.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.37
Rate for Payer: Cigna Commercial	$87.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.11
Rate for Payer: Qualcare PPO/HMO/WC	$26.10

PARAINFLUENZA TITER

Facility

$172.00

Service Code	HCPCS 86171
Hospital Charge Code	38476023
Hospital Revenue Code	302
Min. Negotiated Rate	$25.80
Max. Negotiated Rate	$25.80
Rate for Payer: Qualcare PPO/HMO/WC	$25.80

PARAINFLUENZA TITER

Facility

$172.00

Service Code	HCPCS 86171
Hospital Charge Code	38476023
Hospital Revenue Code	302
Min. Negotiated Rate	$5.00
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$32.43
Rate for Payer: Aetna Medicare Advantage	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.68
Rate for Payer: Cigna Commercial	$10.01
Rate for Payer: Cigna Medicare Advantage	$5.00
Rate for Payer: Clover Medicare Advantage	$9.51
Rate for Payer: EmblemHealth Commercial	$30.03
Rate for Payer: Humana Medicare Advantage	$10.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.36
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.01
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.61
Rate for Payer: Wellcare Medicare Advantage	$10.01

PARALLEL GUIDE

Facility

$2,984.95

Hospital Charge Code	270654611
Hospital Revenue Code	272
Min. Negotiated Rate	$447.74
Max. Negotiated Rate	$447.74
Rate for Payer: Qualcare PPO/HMO/WC	$447.74

PARALLEL GUIDE

Facility

$2,984.95

Hospital Charge Code	270654611
Hospital Revenue Code	272
Min. Negotiated Rate	$388.04
Max. Negotiated Rate	$1,492.47
Rate for Payer: Aetna Commercial	$895.49
Rate for Payer: Aetna Medicare Advantage	$895.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$761.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$761.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$761.16
Rate for Payer: Cigna Commercial	$1,492.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$388.04
Rate for Payer: Oxford Commercial	$1,492.47
Rate for Payer: Qualcare PPO/HMO/WC	$447.74
Rate for Payer: UnitedHealthcare Commercial	$1,492.47

Know your out-of-pocket cost for care.

All Charges