Heights University Hospital

All Charges

Charge

Type

Setting

Price

PENIS, TESTES AND SCROTAL PROCEDURES

Facility

$57,667.55

Service Code	APR-DRG 4834
Min. Negotiated Rate	$42,537.58
Max. Negotiated Rate	$57,667.55
Rate for Payer: Aetna Better Health Medicaid	$42,537.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$43,388.33
Rate for Payer: Wellpoint Medicaid Managed Care	$57,667.55

PENIS, TESTES AND SCROTAL PROCEDURES

Facility

$25,521.86

Service Code	APR-DRG 4833
Min. Negotiated Rate	$20,534.00
Max. Negotiated Rate	$25,521.86
Rate for Payer: Aetna Better Health Medicaid	$25,021.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,521.86
Rate for Payer: Wellpoint Medicaid Managed Care	$20,534.00

PEN & LABEL SET

Facility

$12.50

Hospital Charge Code	2709000382
Hospital Revenue Code	272
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$6.25
Rate for Payer: Aetna Commercial	$3.75
Rate for Payer: Aetna Medicare Advantage	$3.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.19
Rate for Payer: Cigna Commercial	$6.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.62
Rate for Payer: Oxford Commercial	$6.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.88
Rate for Payer: UnitedHealthcare Commercial	$6.25

PEN & LABEL SET

Facility

$12.50

Hospital Charge Code	2709000382
Hospital Revenue Code	272
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$1.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.88

PENLIGHT DISPO COBALT BLUE

Facility

$210.00

Hospital Charge Code	270653912
Hospital Revenue Code	272
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.50

PENLIGHT DISPO COBALT BLUE

Facility

$210.00

Hospital Charge Code	270653912
Hospital Revenue Code	272
Min. Negotiated Rate	$27.30
Max. Negotiated Rate	$105.00
Rate for Payer: Aetna Commercial	$63.00
Rate for Payer: Aetna Medicare Advantage	$63.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.55
Rate for Payer: Cigna Commercial	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.30
Rate for Payer: Oxford Commercial	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.50
Rate for Payer: UnitedHealthcare Commercial	$105.00

PENPADINID INJ ISET INJ

Facility

$914.45

Hospital Charge Code	6004147
Hospital Revenue Code	250
Min. Negotiated Rate	$118.88
Max. Negotiated Rate	$457.23
Rate for Payer: Aetna Commercial	$274.33
Rate for Payer: Aetna Medicare Advantage	$274.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$233.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$233.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$233.18
Rate for Payer: Cigna Commercial	$457.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.88
Rate for Payer: Oxford Commercial	$457.23
Rate for Payer: Qualcare PPO/HMO/WC	$137.17
Rate for Payer: UnitedHealthcare Commercial	$457.23

PENPADINID INJ ISET INJ

Facility

$914.45

Hospital Charge Code	6004147
Hospital Revenue Code	250
Min. Negotiated Rate	$137.17
Max. Negotiated Rate	$137.17
Rate for Payer: Qualcare PPO/HMO/WC	$137.17

PEN SKIN SCRIBE

Facility

$10.45

Hospital Charge Code	270061160
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.57

PEN SKIN SCRIBE

Facility

$10.45

Hospital Charge Code	270061160
Hospital Revenue Code	272
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$5.22
Rate for Payer: Aetna Commercial	$3.13
Rate for Payer: Aetna Medicare Advantage	$3.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.66
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.36
Rate for Payer: Oxford Commercial	$5.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Commercial	$5.22

PENSTIC TIB/FIB SPLNT KNEE LG*

Facility

$70.00

Hospital Charge Code	8003584
Hospital Revenue Code	279
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.50

PENSTIC TIB/FIB SPLNT KNEE LG*

Facility

$70.00

Hospital Charge Code	8003584
Hospital Revenue Code	279
Min. Negotiated Rate	$9.10
Max. Negotiated Rate	$35.00
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.85
Rate for Payer: Cigna Commercial	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.10
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.50
Rate for Payer: UnitedHealthcare Commercial	$35.00

PENTAM INJ/300MG/VIAL

Facility

$358.05

Service Code	NDC 63323011310
Hospital Charge Code	60634265
Hospital Revenue Code	250
Min. Negotiated Rate	$53.71
Max. Negotiated Rate	$53.71
Rate for Payer: Qualcare PPO/HMO/WC	$53.71

PENTAM INJ/300MG/VIAL

Facility

$358.05

Service Code	NDC 63323011310
Hospital Charge Code	60634265
Hospital Revenue Code	250
Min. Negotiated Rate	$46.55
Max. Negotiated Rate	$179.03
Rate for Payer: Aetna Commercial	$107.42
Rate for Payer: Aetna Medicare Advantage	$107.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.30
Rate for Payer: Cigna Commercial	$179.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.55
Rate for Payer: Oxford Commercial	$179.03
Rate for Payer: Qualcare PPO/HMO/WC	$53.71
Rate for Payer: UnitedHealthcare Commercial	$179.03

PENTAZOCINE INJ 30MG

Facility

$19.85

Hospital Charge Code	6009534
Hospital Revenue Code	250
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

PENTAZOCINE INJ 30MG

Facility

$19.85

Hospital Charge Code	6009534
Hospital Revenue Code	250
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$2.98
Rate for Payer: Qualcare PPO/HMO/WC	$2.98

PENTAZOCINE NALOXN

Facility

$7.70

Hospital Charge Code	6011134
Hospital Revenue Code	252
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$3.85
Rate for Payer: Aetna Commercial	$2.31
Rate for Payer: Aetna Medicare Advantage	$2.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.96
Rate for Payer: Cigna Commercial	$3.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.00
Rate for Payer: Oxford Commercial	$3.85
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$3.85

PENTAZOCINE NALOXN

Facility

$7.70

Hospital Charge Code	6011134
Hospital Revenue Code	252
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

PENTAZOCINE NALOXN TAB 50-.5MG

Facility

$10.45

Hospital Charge Code	60627723
Hospital Revenue Code	250
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$5.22
Rate for Payer: Aetna Commercial	$3.13
Rate for Payer: Aetna Medicare Advantage	$3.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.66
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.36
Rate for Payer: Oxford Commercial	$5.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Commercial	$5.22

PENTAZOCINE NALOXN TAB 50-.5MG

Facility

$10.45

Hospital Charge Code	60627723
Hospital Revenue Code	250
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.57

PENTAZOCINE SYR 30MG/1ML

Facility

$13.65

Hospital Charge Code	60627722
Hospital Revenue Code	250
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$6.83
Rate for Payer: Aetna Commercial	$4.09
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.77
Rate for Payer: Oxford Commercial	$6.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$6.83

PENTAZOCINE SYR 30MG/1ML

Facility

$13.65

Hospital Charge Code	60627722
Hospital Revenue Code	250
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

PENTIDS 800/500MG/TAB

Facility

$3.00

Hospital Charge Code	60633623
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

PENTIDS 800/500MG/TAB

Facility

$3.00

Hospital Charge Code	60633623
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

PENTOBARBITAL 50 MG/ML INJ

Facility

$128.00

Hospital Charge Code	60628771
Hospital Revenue Code	250
Min. Negotiated Rate	$16.64
Max. Negotiated Rate	$64.00
Rate for Payer: Aetna Commercial	$38.40
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.64
Rate for Payer: Oxford Commercial	$64.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$64.00

Know your out-of-pocket cost for care.

All Charges