Heights University Hospital

All Charges

Charge

Type

Setting

Price

PENCIL PROBE 9.2MHZ

Facility

$650.00

Hospital Charge Code	270662649
Hospital Revenue Code	272
Min. Negotiated Rate	$84.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.50
Rate for Payer: Oxford Commercial	$325.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Commercial	$325.00

PENCIL PROBE 9.2MHZ

Facility

$650.00

Hospital Charge Code	270662649
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

PENCIL ROCKERSWITCH TROLL

Facility

$33.18

Hospital Charge Code	270651700
Hospital Revenue Code	270
Min. Negotiated Rate	$4.98
Max. Negotiated Rate	$4.98
Rate for Payer: Qualcare PPO/HMO/WC	$4.98

PENCIL ROCKERSWITCH TROLL

Facility

$33.18

Hospital Charge Code	270651700
Hospital Revenue Code	270
Min. Negotiated Rate	$4.31
Max. Negotiated Rate	$16.59
Rate for Payer: Aetna Commercial	$9.95
Rate for Payer: Aetna Medicare Advantage	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.46
Rate for Payer: Cigna Commercial	$16.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.31
Rate for Payer: Oxford Commercial	$16.59
Rate for Payer: Qualcare PPO/HMO/WC	$4.98
Rate for Payer: UnitedHealthcare Commercial	$16.59

PENCIL SMOKE EVACUATION NEPTUR

Facility

$150.00

Hospital Charge Code	270688981
Hospital Revenue Code	272
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$45.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Commercial	$75.00

PENCIL SMOKE EVACUATION NEPTUR

Facility

$150.00

Hospital Charge Code	270688981
Hospital Revenue Code	272
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

PENCIL TIP EZCN 2.5BLADE 0012

Facility

$25.10

Hospital Charge Code	270630469
Hospital Revenue Code	272
Min. Negotiated Rate	$3.77
Max. Negotiated Rate	$3.77
Rate for Payer: Qualcare PPO/HMO/WC	$3.77

PENCIL TIP EZCN 2.5BLADE 0012

Facility

$25.10

Hospital Charge Code	270630469
Hospital Revenue Code	272
Min. Negotiated Rate	$3.26
Max. Negotiated Rate	$12.55
Rate for Payer: Aetna Commercial	$7.53
Rate for Payer: Aetna Medicare Advantage	$7.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.40
Rate for Payer: Cigna Commercial	$12.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.26
Rate for Payer: Oxford Commercial	$12.55
Rate for Payer: Qualcare PPO/HMO/WC	$3.77
Rate for Payer: UnitedHealthcare Commercial	$12.55

PENEOPLASTY REPR PEMEUM NONOB

Facility

$2,961.70

Service Code	HCPCS 56810
Hospital Charge Code	1600000453
Hospital Revenue Code	360
Min. Negotiated Rate	$385.02
Max. Negotiated Rate	$7,708.87
Rate for Payer: Aetna Commercial	$888.51
Rate for Payer: Aetna Medicare Advantage	$888.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$755.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$755.23
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	$755.23
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$385.02
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$444.25
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

PENEOPLASTY REPR PEMEUM NONOB

Facility

$2,961.70

Service Code	HCPCS 56810
Hospital Charge Code	1600000453
Hospital Revenue Code	360
Min. Negotiated Rate	$444.25
Max. Negotiated Rate	$444.25
Rate for Payer: Qualcare PPO/HMO/WC	$444.25

PENEVAC BODY BLADE ELECTRODE**

Facility

$104.00

Hospital Charge Code	1608504
Hospital Revenue Code	272
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$15.60
Rate for Payer: Qualcare PPO/HMO/WC	$15.60

PENEVAC BODY BLADE ELECTRODE**

Facility

$104.00

Hospital Charge Code	1608504
Hospital Revenue Code	272
Min. Negotiated Rate	$13.52
Max. Negotiated Rate	$52.00
Rate for Payer: Aetna Commercial	$31.20
Rate for Payer: Aetna Medicare Advantage	$31.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.52
Rate for Payer: Cigna Commercial	$52.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.52
Rate for Payer: Oxford Commercial	$52.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.60
Rate for Payer: UnitedHealthcare Commercial	$52.00

PEN G BENZ/PROCAN 1.2 MIL U/2M

Facility

$558.65

Service Code	HCPCS J0558
Hospital Charge Code	6063943226
Hospital Revenue Code	636
Min. Negotiated Rate	$83.80
Max. Negotiated Rate	$167.59
Rate for Payer: Aetna Commercial	$167.59
Rate for Payer: Aetna Medicare Advantage	$167.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.19
Rate for Payer: Qualcare PPO/HMO/WC	$83.80

PEN G BENZ/PROCAN 1.2 MIL U/2M

Facility

$558.65

Service Code	HCPCS J0558
Hospital Charge Code	6063943226
Hospital Revenue Code	636
Min. Negotiated Rate	$83.80
Max. Negotiated Rate	$135.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.19
Rate for Payer: Qualcare PPO/HMO/WC	$83.80

PENG POT PREMIX 2MIL UNIT

Facility

$12.00

Hospital Charge Code	60635369
Hospital Revenue Code	250
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.80

PENG POT PREMIX 2MIL UNIT

Facility

$12.00

Hospital Charge Code	60635369
Hospital Revenue Code	250
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$6.00
Rate for Payer: Aetna Commercial	$3.60
Rate for Payer: Aetna Medicare Advantage	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.06
Rate for Payer: Cigna Commercial	$6.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.56
Rate for Payer: Oxford Commercial	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Commercial	$6.00

PENICIL G PRO 600,000U/ML 2ML

Facility

$64.00

Hospital Charge Code	6004113
Hospital Revenue Code	250
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.60

PENICIL G PRO 600,000U/ML 2ML

Facility

$64.00

Hospital Charge Code	6004113
Hospital Revenue Code	250
Min. Negotiated Rate	$8.32
Max. Negotiated Rate	$32.00
Rate for Payer: Aetna Commercial	$19.20
Rate for Payer: Aetna Medicare Advantage	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.32
Rate for Payer: Cigna Commercial	$32.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.32
Rate for Payer: Oxford Commercial	$32.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.60
Rate for Payer: UnitedHealthcare Commercial	$32.00

PENICIL G PRO 600,000U/ML 4ML

Facility

$43.55

Hospital Charge Code	6004121
Hospital Revenue Code	250
Min. Negotiated Rate	$6.53
Max. Negotiated Rate	$6.53
Rate for Payer: Qualcare PPO/HMO/WC	$6.53

PENICIL G PRO 600,000U/ML 4ML

Facility

$43.55

Hospital Charge Code	6004121
Hospital Revenue Code	250
Min. Negotiated Rate	$5.66
Max. Negotiated Rate	$21.77
Rate for Payer: Aetna Commercial	$13.06
Rate for Payer: Aetna Medicare Advantage	$13.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.11
Rate for Payer: Cigna Commercial	$21.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.66
Rate for Payer: Oxford Commercial	$21.77
Rate for Payer: Qualcare PPO/HMO/WC	$6.53
Rate for Payer: UnitedHealthcare Commercial	$21.77

PENICILLIN E POTAS INJ 1MU

Facility

$3.85

Hospital Charge Code	6009989
Hospital Revenue Code	250
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$0.58
Rate for Payer: Qualcare PPO/HMO/WC	$0.58

PENICILLIN E POTAS INJ 1MU

Facility

$3.85

Hospital Charge Code	6009989
Hospital Revenue Code	250
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$1.93
Rate for Payer: Aetna Commercial	$1.16
Rate for Payer: Aetna Medicare Advantage	$1.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.98
Rate for Payer: Cigna Commercial	$1.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.50
Rate for Payer: Oxford Commercial	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$0.58
Rate for Payer: UnitedHealthcare Commercial	$1.93

PENICILLIN E POTAS INJ 20MU

Facility

$69.15

Hospital Charge Code	6009930
Hospital Revenue Code	250
Min. Negotiated Rate	$10.37
Max. Negotiated Rate	$10.37
Rate for Payer: Qualcare PPO/HMO/WC	$10.37

PENICILLIN E POTAS INJ 20MU

Facility

$69.15

Hospital Charge Code	6009930
Hospital Revenue Code	250
Min. Negotiated Rate	$8.99
Max. Negotiated Rate	$34.58
Rate for Payer: Aetna Commercial	$20.75
Rate for Payer: Aetna Medicare Advantage	$20.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.63
Rate for Payer: Cigna Commercial	$34.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.99
Rate for Payer: Oxford Commercial	$34.58
Rate for Payer: Qualcare PPO/HMO/WC	$10.37
Rate for Payer: UnitedHealthcare Commercial	$34.58

PENICILLIN G 5MU VIAL

Facility

$106.40

Service Code	HCPCS J2540
Hospital Charge Code	60627305
Hospital Revenue Code	636
Min. Negotiated Rate	$15.96
Max. Negotiated Rate	$25.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.96

Know your out-of-pocket cost for care.

All Charges