Heights University Hospital

All Charges

Charge

Type

Setting

Price

PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$54,706.30

Service Code	APR-DRG 1832
Min. Negotiated Rate	$53,633.63
Max. Negotiated Rate	$54,706.30
Rate for Payer: Aetna Better Health Medicaid	$53,633.63
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$54,706.30

PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$95,044.33

Service Code	APR-DRG 1834
Min. Negotiated Rate	$93,180.72
Max. Negotiated Rate	$95,044.33
Rate for Payer: Aetna Better Health Medicaid	$93,180.72
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$95,044.33

PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$53,542.07

Service Code	APR-DRG 1831
Min. Negotiated Rate	$52,492.23
Max. Negotiated Rate	$53,542.07
Rate for Payer: Aetna Better Health Medicaid	$52,492.23
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$53,542.07

PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$63,485.07

Service Code	APR-DRG 1833
Min. Negotiated Rate	$62,240.26
Max. Negotiated Rate	$63,485.07
Rate for Payer: Aetna Better Health Medicaid	$62,240.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$63,485.07

PERCUTAN INSERT KIT ARTERIAL

Facility

$284.75

Hospital Charge Code	2703110S
Hospital Revenue Code	272
Min. Negotiated Rate	$37.02
Max. Negotiated Rate	$142.38
Rate for Payer: Aetna Commercial	$85.42
Rate for Payer: Aetna Medicare Advantage	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.61
Rate for Payer: Cigna Commercial	$142.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.02
Rate for Payer: Oxford Commercial	$142.38
Rate for Payer: Qualcare PPO/HMO/WC	$42.71
Rate for Payer: UnitedHealthcare Commercial	$142.38

PERCUTAN INSERT KIT ARTERIAL

Facility

$284.75

Hospital Charge Code	2703110S
Hospital Revenue Code	272
Min. Negotiated Rate	$42.71
Max. Negotiated Rate	$42.71
Rate for Payer: Qualcare PPO/HMO/WC	$42.71

PERCUTAN INSERT KIT VENOUS

Facility

$284.75

Hospital Charge Code	2703110T
Hospital Revenue Code	272
Min. Negotiated Rate	$37.02
Max. Negotiated Rate	$142.38
Rate for Payer: Aetna Commercial	$85.42
Rate for Payer: Aetna Medicare Advantage	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.61
Rate for Payer: Cigna Commercial	$142.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.02
Rate for Payer: Oxford Commercial	$142.38
Rate for Payer: Qualcare PPO/HMO/WC	$42.71
Rate for Payer: UnitedHealthcare Commercial	$142.38

PERCUTAN INSERT KIT VENOUS

Facility

$284.75

Hospital Charge Code	2703110T
Hospital Revenue Code	272
Min. Negotiated Rate	$42.71
Max. Negotiated Rate	$42.71
Rate for Payer: Qualcare PPO/HMO/WC	$42.71

PERCUT BX LUNG/MEDIASTINUM

Facility

$8,407.60

Service Code	HCPCS 32408
Hospital Charge Code	16000183
Hospital Revenue Code	360
Min. Negotiated Rate	$1,092.99
Max. Negotiated Rate	$3,933.12
Rate for Payer: Aetna Commercial	$2,522.28
Rate for Payer: Aetna Medicare Advantage	$2,522.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,143.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,143.94
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	$2,143.94
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,092.99
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,261.14
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

PERCUT BX LUNG/MEDIASTINUM

Facility

$8,407.60

Service Code	HCPCS 32408
Hospital Charge Code	16000183
Hospital Revenue Code	360
Min. Negotiated Rate	$1,261.14
Max. Negotiated Rate	$1,261.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,261.14

PERDIEM GRANULES

Facility

$23.00

Hospital Charge Code	60634871
Hospital Revenue Code	250
Min. Negotiated Rate	$2.99
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$6.90
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.99
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$11.50

PERDIEM GRANULES

Facility

$23.00

Hospital Charge Code	60634871
Hospital Revenue Code	250
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

PERFECT SCALPEL

Facility

$825.00

Hospital Charge Code	270704788
Hospital Revenue Code	279
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$123.75
Rate for Payer: Qualcare PPO/HMO/WC	$123.75

PERFECT SCALPEL

Facility

$825.00

Hospital Charge Code	270704788
Hospital Revenue Code	279
Min. Negotiated Rate	$107.25
Max. Negotiated Rate	$412.50
Rate for Payer: Aetna Commercial	$247.50
Rate for Payer: Aetna Medicare Advantage	$247.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.38
Rate for Payer: Cigna Commercial	$412.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.25
Rate for Payer: Oxford Commercial	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$123.75
Rate for Payer: UnitedHealthcare Commercial	$412.50

PERFLUTREN LIPD MICRO SUSP 2ML

Facility

$1,045.20

Service Code	NDC 11994001104
Hospital Charge Code	6063943158
Hospital Revenue Code	250
Min. Negotiated Rate	$135.88
Max. Negotiated Rate	$522.60
Rate for Payer: Aetna Commercial	$313.56
Rate for Payer: Aetna Medicare Advantage	$313.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.53
Rate for Payer: Cigna Commercial	$522.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.88
Rate for Payer: Oxford Commercial	$522.60
Rate for Payer: Qualcare PPO/HMO/WC	$156.78
Rate for Payer: UnitedHealthcare Commercial	$522.60

PERFLUTREN LIPD MICRO SUSP 2ML

Facility

$1,045.20

Service Code	NDC 11994001104
Hospital Charge Code	6063943158
Hospital Revenue Code	250
Min. Negotiated Rate	$156.78
Max. Negotiated Rate	$156.78
Rate for Payer: Qualcare PPO/HMO/WC	$156.78

PERFORATOR AMNIHOOK

Facility

$16.85

Hospital Charge Code	270130010
Hospital Revenue Code	272
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$5.05
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.19
Rate for Payer: Oxford Commercial	$8.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$8.43

PERFORATOR AMNIHOOK

Facility

$16.85

Hospital Charge Code	270130010
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

PERFORATOR CRANIAL 14MM 261221

Facility

$890.45

Hospital Charge Code	270061175
Hospital Revenue Code	272
Min. Negotiated Rate	$115.76
Max. Negotiated Rate	$445.23
Rate for Payer: Aetna Commercial	$267.13
Rate for Payer: Aetna Medicare Advantage	$267.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.06
Rate for Payer: Cigna Commercial	$445.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$115.76
Rate for Payer: Oxford Commercial	$445.23
Rate for Payer: Qualcare PPO/HMO/WC	$133.57
Rate for Payer: UnitedHealthcare Commercial	$445.23

PERFORATOR CRANIAL 14MM 261221

Facility

$890.45

Hospital Charge Code	270061175
Hospital Revenue Code	272
Min. Negotiated Rate	$133.57
Max. Negotiated Rate	$133.57
Rate for Payer: Qualcare PPO/HMO/WC	$133.57

PERFORATOR CRANIAL 14MM 261221

Facility

$1,200.00

Hospital Charge Code	270625223
Hospital Revenue Code	272
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$180.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

PERFORATOR CRANIAL 14MM 261221

Facility

$1,200.00

Hospital Charge Code	270625223
Hospital Revenue Code	272
Min. Negotiated Rate	$156.00
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$360.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.00
Rate for Payer: Oxford Commercial	$600.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00
Rate for Payer: UnitedHealthcare Commercial	$600.00

PERFORMAX EE LEAK 2 SU XS

Facility

$1,330.10

Hospital Charge Code	270684816
Hospital Revenue Code	272
Min. Negotiated Rate	$199.51
Max. Negotiated Rate	$199.51
Rate for Payer: Qualcare PPO/HMO/WC	$199.51

PERFORMAX EE LEAK 2 SU XS

Facility

$1,330.10

Hospital Charge Code	270684816
Hospital Revenue Code	272
Min. Negotiated Rate	$172.91
Max. Negotiated Rate	$665.05
Rate for Payer: Aetna Commercial	$399.03
Rate for Payer: Aetna Medicare Advantage	$399.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$339.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$339.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$339.18
Rate for Payer: Cigna Commercial	$665.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.91
Rate for Payer: Oxford Commercial	$665.05
Rate for Payer: Qualcare PPO/HMO/WC	$199.51
Rate for Payer: UnitedHealthcare Commercial	$665.05

PERFOROMIST 20MCG/2ML NEB VIAL

Facility

$190.28

Service Code	NDC 49502060530
Hospital Charge Code	606390223
Hospital Revenue Code	250
Min. Negotiated Rate	$24.74
Max. Negotiated Rate	$95.14
Rate for Payer: Aetna Commercial	$57.08
Rate for Payer: Aetna Medicare Advantage	$57.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.52
Rate for Payer: Cigna Commercial	$95.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.74
Rate for Payer: Oxford Commercial	$95.14
Rate for Payer: Qualcare PPO/HMO/WC	$28.54
Rate for Payer: UnitedHealthcare Commercial	$95.14

Know your out-of-pocket cost for care.

All Charges