Heights University Hospital

All Charges

Charge

Type

Setting

Price

PARIATEX MESH 9 CM

Facility

$615.00

Hospital Charge Code	270339117
Hospital Revenue Code	278
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$148.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.83
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

PARICALCITOL 2 MCG/ML INJ

Facility

$48.71

Service Code	HCPCS J2501
Hospital Charge Code	60635723
Hospital Revenue Code	636
Min. Negotiated Rate	$7.31
Max. Negotiated Rate	$11.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.79
Rate for Payer: Qualcare PPO/HMO/WC	$7.31

PARICALCITOL 2 MCG/ML INJ

Facility

$48.71

Service Code	HCPCS J2501
Hospital Charge Code	60635723
Hospital Revenue Code	636
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$14.61
Rate for Payer: Aetna Commercial	$14.61
Rate for Payer: Aetna Medicare Advantage	$14.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.42
Rate for Payer: Cigna Commercial	$1.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.79
Rate for Payer: Qualcare PPO/HMO/WC	$7.31

PARICALCITOL 5 MCG/ML INJ

Facility

$121.81

Service Code	HCPCS J2501
Hospital Charge Code	60629008
Hospital Revenue Code	636
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$36.54
Rate for Payer: Aetna Commercial	$36.54
Rate for Payer: Aetna Medicare Advantage	$36.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.06
Rate for Payer: Cigna Commercial	$1.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.48
Rate for Payer: Qualcare PPO/HMO/WC	$18.27

PARICALCITOL 5 MCG/ML INJ

Facility

$121.81

Service Code	HCPCS J2501
Hospital Charge Code	60629008
Hospital Revenue Code	636
Min. Negotiated Rate	$18.27
Max. Negotiated Rate	$29.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.48
Rate for Payer: Qualcare PPO/HMO/WC	$18.27

PARIETAL CELL AB

Facility

$390.00

Service Code	HCPCS 86255
Hospital Charge Code	39900364
Hospital Revenue Code	302
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$39.04
Rate for Payer: Aetna Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.15
Rate for Payer: Cigna Commercial	$12.05
Rate for Payer: Cigna Medicare Advantage	$6.03
Rate for Payer: Clover Medicare Advantage	$11.45
Rate for Payer: EmblemHealth Commercial	$36.15
Rate for Payer: Humana Medicare Advantage	$12.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.77
Rate for Payer: Wellcare Medicare Advantage	$12.05

PARIETAL CELL AB

Facility

$390.00

Service Code	HCPCS 86255
Hospital Charge Code	39900364
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

PARIETAL CELL ANTIBODIES

Facility

$280.00

Service Code	HCPCS 86255
Hospital Charge Code	38476184
Hospital Revenue Code	302
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$39.04
Rate for Payer: Aetna Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.15
Rate for Payer: Cigna Commercial	$12.05
Rate for Payer: Cigna Medicare Advantage	$6.03
Rate for Payer: Clover Medicare Advantage	$11.45
Rate for Payer: EmblemHealth Commercial	$36.15
Rate for Payer: Humana Medicare Advantage	$12.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.77
Rate for Payer: Wellcare Medicare Advantage	$12.05

PARIETAL CELL ANTIBODIES

Facility

$280.00

Service Code	HCPCS 86255
Hospital Charge Code	38476184
Hospital Revenue Code	302
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

PARIETEX 30X20

Facility

$8,443.45

Hospital Charge Code	270655621
Hospital Revenue Code	278
Min. Negotiated Rate	$1,266.52
Max. Negotiated Rate	$4,221.73
Rate for Payer: Aetna Commercial	$2,533.03
Rate for Payer: Aetna Medicare Advantage	$2,533.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,153.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,153.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,688.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,153.08
Rate for Payer: Cigna Commercial	$4,221.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,043.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,266.52

PARIETEX 30X20

Facility

$8,443.45

Hospital Charge Code	270655621
Hospital Revenue Code	278
Min. Negotiated Rate	$1,266.52
Max. Negotiated Rate	$2,043.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,688.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,043.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,266.52

PARIETEX 30X20

Facility

$8,443.45

Hospital Charge Code	270656081
Hospital Revenue Code	278
Min. Negotiated Rate	$1,266.52
Max. Negotiated Rate	$2,043.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,688.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,043.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,266.52

PARIETEX 30X20

Facility

$8,443.45

Hospital Charge Code	270656081
Hospital Revenue Code	278
Min. Negotiated Rate	$1,266.52
Max. Negotiated Rate	$4,221.73
Rate for Payer: Aetna Commercial	$2,533.03
Rate for Payer: Aetna Medicare Advantage	$2,533.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,153.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,153.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,688.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,153.08
Rate for Payer: Cigna Commercial	$4,221.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,043.31
Rate for Payer: Qualcare PPO/HMO/WC	$1,266.52

PARIETEX 30X20 OPEN

Facility

$8,800.00

Hospital Charge Code	270656086
Hospital Revenue Code	278
Min. Negotiated Rate	$1,320.00
Max. Negotiated Rate	$4,400.00
Rate for Payer: Aetna Commercial	$2,640.00
Rate for Payer: Aetna Medicare Advantage	$2,640.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,760.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,244.00
Rate for Payer: Cigna Commercial	$4,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,129.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,320.00

PARIETEX 30X20 OPEN

Facility

$8,800.00

Hospital Charge Code	270656086
Hospital Revenue Code	278
Min. Negotiated Rate	$1,320.00
Max. Negotiated Rate	$2,129.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,760.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,129.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,320.00

PARIETEX OPEN PCO12X

Facility

$21.40

Hospital Charge Code	270659390
Hospital Revenue Code	272
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$3.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

PARIETEX OPEN PCO12X

Facility

$21.40

Hospital Charge Code	270659390
Hospital Revenue Code	272
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$6.42
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.78
Rate for Payer: Oxford Commercial	$10.70
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Commercial	$10.70

PARIETEX PLUG 6.5 CM ROUND

Facility

$507.65

Service Code	HCPCS C1781
Hospital Charge Code	270689837
Hospital Revenue Code	278
Min. Negotiated Rate	$76.15
Max. Negotiated Rate	$122.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.85
Rate for Payer: Qualcare PPO/HMO/WC	$76.15

PARIETEX PLUG 6.5 CM ROUND

Facility

$507.65

Service Code	HCPCS C1781
Hospital Charge Code	270689837
Hospital Revenue Code	278
Min. Negotiated Rate	$76.15
Max. Negotiated Rate	$253.82
Rate for Payer: Aetna Commercial	$152.29
Rate for Payer: Aetna Medicare Advantage	$152.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.45
Rate for Payer: Cigna Commercial	$253.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.85
Rate for Payer: Qualcare PPO/HMO/WC	$76.15

PARIETEX PLUG 8 CM ROUND

Facility

$533.40

Service Code	HCPCS C1781
Hospital Charge Code	270689840
Hospital Revenue Code	278
Min. Negotiated Rate	$80.01
Max. Negotiated Rate	$266.70
Rate for Payer: Aetna Commercial	$160.02
Rate for Payer: Aetna Medicare Advantage	$160.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.02
Rate for Payer: Cigna Commercial	$266.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.08
Rate for Payer: Qualcare PPO/HMO/WC	$80.01

PARIETEX PLUG 8 CM ROUND

Facility

$533.40

Service Code	HCPCS C1781
Hospital Charge Code	270689840
Hospital Revenue Code	278
Min. Negotiated Rate	$80.01
Max. Negotiated Rate	$129.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.08
Rate for Payer: Qualcare PPO/HMO/WC	$80.01

PARIETEX PROGRIP MESH 15X9

Facility

$1,680.95

Hospital Charge Code	270657132
Hospital Revenue Code	278
Min. Negotiated Rate	$252.14
Max. Negotiated Rate	$840.48
Rate for Payer: Aetna Commercial	$504.29
Rate for Payer: Aetna Medicare Advantage	$504.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$336.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.64
Rate for Payer: Cigna Commercial	$840.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.79
Rate for Payer: Qualcare PPO/HMO/WC	$252.14

PARIETEX PROGRIP MESH 15X9

Facility

$1,680.95

Hospital Charge Code	270657132
Hospital Revenue Code	278
Min. Negotiated Rate	$252.14
Max. Negotiated Rate	$406.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$336.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.79
Rate for Payer: Qualcare PPO/HMO/WC	$252.14

PARITAL CARE INDIV 75-80 MIN

Facility

$920.00

Service Code	HCPCS 90822
Hospital Charge Code	84310055
Hospital Revenue Code	912
Min. Negotiated Rate	$119.60
Max. Negotiated Rate	$460.00
Rate for Payer: Aetna Commercial	$276.00
Rate for Payer: Aetna Medicare Advantage	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.60
Rate for Payer: Cigna Commercial	$460.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.60
Rate for Payer: Qualcare PPO/HMO/WC	$138.00

PARITAL CARE INDIV 75-80 MIN

Facility

$920.00

Service Code	HCPCS 90822
Hospital Charge Code	84310055
Hospital Revenue Code	912
Min. Negotiated Rate	$138.00
Max. Negotiated Rate	$138.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00

Know your out-of-pocket cost for care.

All Charges