Heights University Hospital

All Charges

Charge

Type

Setting

Price

PARLODEL/2.5MG/TAB

Facility

$8.00

Hospital Charge Code	60633613
Hospital Revenue Code	250
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$4.00
Rate for Payer: Aetna Commercial	$2.40
Rate for Payer: Aetna Medicare Advantage	$2.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.04
Rate for Payer: Cigna Commercial	$4.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$4.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.20
Rate for Payer: UnitedHealthcare Commercial	$4.00

PARLODEL/2.5MG/TAB

Facility

$8.00

Hospital Charge Code	60633613
Hospital Revenue Code	250
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.20

PARNATE/10MG

Facility

$3.00

Hospital Charge Code	60634939
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

PARNATE/10MG

Facility

$3.00

Hospital Charge Code	60634939
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

PAROMOMYCIN CAP 250MG

Facility

$19.85

Hospital Charge Code	6010359
Hospital Revenue Code	252
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$2.98
Rate for Payer: Qualcare PPO/HMO/WC	$2.98

PAROMOMYCIN CAP 250MG

Facility

$19.85

Hospital Charge Code	6010359
Hospital Revenue Code	252
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$9.93
Rate for Payer: Aetna Commercial	$5.96
Rate for Payer: Aetna Medicare Advantage	$5.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.06
Rate for Payer: Cigna Commercial	$9.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.58
Rate for Payer: Oxford Commercial	$9.93
Rate for Payer: Qualcare PPO/HMO/WC	$2.98
Rate for Payer: UnitedHealthcare Commercial	$9.93

PAROXETINE 10 MG TAB

Facility

$49.51

Service Code	NDC 60505366303
Hospital Charge Code	60628677
Hospital Revenue Code	250
Min. Negotiated Rate	$6.44
Max. Negotiated Rate	$24.75
Rate for Payer: Aetna Commercial	$14.85
Rate for Payer: Aetna Medicare Advantage	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.63
Rate for Payer: Cigna Commercial	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.44
Rate for Payer: Oxford Commercial	$24.75
Rate for Payer: Qualcare PPO/HMO/WC	$7.43
Rate for Payer: UnitedHealthcare Commercial	$24.75

PAROXETINE 10 MG TAB

Facility

$49.51

Service Code	NDC 60505366303
Hospital Charge Code	60628677
Hospital Revenue Code	250
Min. Negotiated Rate	$7.43
Max. Negotiated Rate	$7.43
Rate for Payer: Qualcare PPO/HMO/WC	$7.43

PAROXETINE 12.5 MG CR

Facility

$21.20

Hospital Charge Code	60629872
Hospital Revenue Code	250
Min. Negotiated Rate	$3.18
Max. Negotiated Rate	$3.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.18

PAROXETINE 12.5 MG CR

Facility

$21.20

Hospital Charge Code	60629872
Hospital Revenue Code	250
Min. Negotiated Rate	$2.76
Max. Negotiated Rate	$10.60
Rate for Payer: Aetna Commercial	$6.36
Rate for Payer: Aetna Medicare Advantage	$6.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.41
Rate for Payer: Cigna Commercial	$10.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.76
Rate for Payer: Oxford Commercial	$10.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.18
Rate for Payer: UnitedHealthcare Commercial	$10.60

PAROXETINE 20 MG TAB

Facility

$18.29

Service Code	NDC 68382009816
Hospital Charge Code	6017701
Hospital Revenue Code	250
Min. Negotiated Rate	$2.38
Max. Negotiated Rate	$9.14
Rate for Payer: Aetna Commercial	$5.49
Rate for Payer: Aetna Medicare Advantage	$5.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.66
Rate for Payer: Cigna Commercial	$9.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.38
Rate for Payer: Oxford Commercial	$9.14
Rate for Payer: Qualcare PPO/HMO/WC	$2.74
Rate for Payer: UnitedHealthcare Commercial	$9.14

PAROXETINE 20 MG TAB

Facility

$18.29

Service Code	NDC 68382009816
Hospital Charge Code	6017701
Hospital Revenue Code	250
Min. Negotiated Rate	$2.74
Max. Negotiated Rate	$2.74
Rate for Payer: Qualcare PPO/HMO/WC	$2.74

PAROXETINE 25 MG CR

Facility

$22.15

Hospital Charge Code	60629873
Hospital Revenue Code	250
Min. Negotiated Rate	$2.88
Max. Negotiated Rate	$11.07
Rate for Payer: Aetna Commercial	$6.64
Rate for Payer: Aetna Medicare Advantage	$6.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.65
Rate for Payer: Cigna Commercial	$11.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.88
Rate for Payer: Oxford Commercial	$11.07
Rate for Payer: Qualcare PPO/HMO/WC	$3.32
Rate for Payer: UnitedHealthcare Commercial	$11.07

PAROXETINE 25 MG CR

Facility

$22.15

Hospital Charge Code	60629873
Hospital Revenue Code	250
Min. Negotiated Rate	$3.32
Max. Negotiated Rate	$3.32
Rate for Payer: Qualcare PPO/HMO/WC	$3.32

PAROXETINE 30 MG TAB

Facility

$53.27

Service Code	NDC 60505366503
Hospital Charge Code	60627774
Hospital Revenue Code	250
Min. Negotiated Rate	$6.93
Max. Negotiated Rate	$26.64
Rate for Payer: Aetna Commercial	$15.98
Rate for Payer: Aetna Medicare Advantage	$15.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.58
Rate for Payer: Cigna Commercial	$26.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.93
Rate for Payer: Oxford Commercial	$26.64
Rate for Payer: Qualcare PPO/HMO/WC	$7.99
Rate for Payer: UnitedHealthcare Commercial	$26.64

PAROXETINE 30 MG TAB

Facility

$53.27

Service Code	NDC 60505366503
Hospital Charge Code	60627774
Hospital Revenue Code	250
Min. Negotiated Rate	$7.99
Max. Negotiated Rate	$7.99
Rate for Payer: Qualcare PPO/HMO/WC	$7.99

PAROXETINE HCL 10MG/5ML L 60ML

Facility

$197.65

Hospital Charge Code	60628845
Hospital Revenue Code	250
Min. Negotiated Rate	$29.65
Max. Negotiated Rate	$29.65
Rate for Payer: Qualcare PPO/HMO/WC	$29.65

PAROXETINE HCL 10MG/5ML L 60ML

Facility

$197.65

Hospital Charge Code	60628845
Hospital Revenue Code	250
Min. Negotiated Rate	$25.69
Max. Negotiated Rate	$98.83
Rate for Payer: Aetna Commercial	$59.30
Rate for Payer: Aetna Medicare Advantage	$59.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.40
Rate for Payer: Cigna Commercial	$98.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.69
Rate for Payer: Oxford Commercial	$98.83
Rate for Payer: Qualcare PPO/HMO/WC	$29.65
Rate for Payer: UnitedHealthcare Commercial	$98.83

PAROXETINE TAB 40MG

Facility

$14.75

Hospital Charge Code	60629032
Hospital Revenue Code	250
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$7.38
Rate for Payer: Aetna Commercial	$4.42
Rate for Payer: Aetna Medicare Advantage	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.76
Rate for Payer: Cigna Commercial	$7.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.92
Rate for Payer: Oxford Commercial	$7.38
Rate for Payer: Qualcare PPO/HMO/WC	$2.21
Rate for Payer: UnitedHealthcare Commercial	$7.38

PAROXETINE TAB 40MG

Facility

$14.75

Hospital Charge Code	60629032
Hospital Revenue Code	250
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$2.21
Rate for Payer: Qualcare PPO/HMO/WC	$2.21

PART EXC BONE; DISTAL PHALANX

Facility

$17,164.20

Service Code	HCPCS 26236
Hospital Charge Code	16000555
Hospital Revenue Code	360
Min. Negotiated Rate	$2,574.63
Max. Negotiated Rate	$2,574.63
Rate for Payer: Qualcare PPO/HMO/WC	$2,574.63

PART EXC BONE; DISTAL PHALANX

Facility

$17,164.20

Service Code	HCPCS 26236
Hospital Charge Code	16000555
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$5,149.26
Rate for Payer: Aetna Commercial	$5,149.26
Rate for Payer: Aetna Medicare Advantage	$5,149.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,376.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,376.87
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	$4,376.87
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,231.35
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,574.63
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

PARTIAL CARE GROUP

Facility

$433.40

Service Code	HCPCS 90853
Hospital Charge Code	84518027
Hospital Revenue Code	915
Min. Negotiated Rate	$65.01
Max. Negotiated Rate	$65.01
Rate for Payer: Qualcare PPO/HMO/WC	$65.01

PARTIAL CARE GROUP

Facility

$800.80

Service Code	HCPCS 90853
Hospital Charge Code	84517027
Hospital Revenue Code	915
Min. Negotiated Rate	$120.12
Max. Negotiated Rate	$120.12
Rate for Payer: Qualcare PPO/HMO/WC	$120.12

PARTIAL CARE GROUP

Facility

$800.80

Service Code	HCPCS 90853
Hospital Charge Code	84517027
Hospital Revenue Code	915
Min. Negotiated Rate	$27.48
Max. Negotiated Rate	$241.93
Rate for Payer: Aetna Commercial	$240.24
Rate for Payer: Aetna Medicare Advantage	$240.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.20
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.10
Rate for Payer: Qualcare PPO/HMO/WC	$120.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27.48

Know your out-of-pocket cost for care.

All Charges