Heights University Hospital

All Charges

Charge

Type

Setting

Price

PERMANENT PACEMAKER LEAD

Facility

$313.00

Hospital Charge Code	270331428
Hospital Revenue Code	275
Min. Negotiated Rate	$46.95
Max. Negotiated Rate	$75.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$62.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.75
Rate for Payer: Qualcare PPO/HMO/WC	$46.95

PERMANENT SLED STERILE BAD

Facility

$75.00

Hospital Charge Code	270703399
Hospital Revenue Code	278
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$22.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

PERMANENT SLED STERILE BAD

Facility

$75.00

Hospital Charge Code	270703399
Hospital Revenue Code	278
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$18.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

PERMASOFT LAP ABSORB-35 CM

Facility

$124.00

Hospital Charge Code	270335800
Hospital Revenue Code	272
Min. Negotiated Rate	$18.60
Max. Negotiated Rate	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$18.60

PERMASOFT LAP ABSORB-35 CM

Facility

$124.00

Hospital Charge Code	270335800
Hospital Revenue Code	272
Min. Negotiated Rate	$16.12
Max. Negotiated Rate	$62.00
Rate for Payer: Aetna Commercial	$37.20
Rate for Payer: Aetna Medicare Advantage	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.62
Rate for Payer: Cigna Commercial	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.12
Rate for Payer: Oxford Commercial	$62.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.60
Rate for Payer: UnitedHealthcare Commercial	$62.00

PERMASOFT LAP FASTENERS 12-35

Facility

$226.00

Hospital Charge Code	270335801
Hospital Revenue Code	272
Min. Negotiated Rate	$29.38
Max. Negotiated Rate	$113.00
Rate for Payer: Aetna Commercial	$67.80
Rate for Payer: Aetna Medicare Advantage	$67.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.63
Rate for Payer: Cigna Commercial	$113.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.38
Rate for Payer: Oxford Commercial	$113.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.90
Rate for Payer: UnitedHealthcare Commercial	$113.00

PERMASOFT LAP FASTENERS 12-35

Facility

$226.00

Hospital Charge Code	270335801
Hospital Revenue Code	272
Min. Negotiated Rate	$33.90
Max. Negotiated Rate	$33.90
Rate for Payer: Qualcare PPO/HMO/WC	$33.90

PERMAX 0.05MG TAB

Facility

$3.00

Hospital Charge Code	60635064
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

PERMAX 0.05MG TAB

Facility

$3.00

Hospital Charge Code	60635064
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

PERMAX/0.05MG/TAB

Facility

$3.00

Hospital Charge Code	60633635
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

PERMAX/0.05MG/TAB

Facility

$3.00

Hospital Charge Code	60633635
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

PERMAX/0.25MG/TAB

Facility

$3.00

Hospital Charge Code	60633636
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

PERMAX/0.25MG/TAB

Facility

$3.00

Hospital Charge Code	60633636
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

PERMAX/1MG/TAB

Facility

$13.00

Hospital Charge Code	60633637
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

PERMAX/1MG/TAB

Facility

$13.00

Hospital Charge Code	60633637
Hospital Revenue Code	250
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$3.90
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.69
Rate for Payer: Oxford Commercial	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$6.50

PERM CATHETER

Facility

$574.00

Hospital Charge Code	270332053
Hospital Revenue Code	278
Min. Negotiated Rate	$86.10
Max. Negotiated Rate	$287.00
Rate for Payer: Aetna Commercial	$172.20
Rate for Payer: Aetna Medicare Advantage	$172.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$114.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.37
Rate for Payer: Cigna Commercial	$287.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.91
Rate for Payer: Qualcare PPO/HMO/WC	$86.10

PERM CATHETER

Facility

$574.00

Hospital Charge Code	270332053
Hospital Revenue Code	278
Min. Negotiated Rate	$86.10
Max. Negotiated Rate	$138.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$114.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.91
Rate for Payer: Qualcare PPO/HMO/WC	$86.10

PERMETHRIN 1% CREME N GEL KIT

Facility

$70.28

Service Code	NDC 363095526
Hospital Charge Code	606350998
Hospital Revenue Code	250
Min. Negotiated Rate	$10.54
Max. Negotiated Rate	$10.54
Rate for Payer: Qualcare PPO/HMO/WC	$10.54

PERMETHRIN 1% CREME N GEL KIT

Facility

$70.28

Service Code	NDC 363095526
Hospital Charge Code	606350998
Hospital Revenue Code	250
Min. Negotiated Rate	$9.14
Max. Negotiated Rate	$35.14
Rate for Payer: Aetna Commercial	$21.08
Rate for Payer: Aetna Medicare Advantage	$21.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.92
Rate for Payer: Cigna Commercial	$35.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.14
Rate for Payer: Oxford Commercial	$35.14
Rate for Payer: Qualcare PPO/HMO/WC	$10.54
Rate for Payer: UnitedHealthcare Commercial	$35.14

PERMETHRIN 1% LOTION

Facility

$36.00

Hospital Charge Code	60635675
Hospital Revenue Code	250
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

PERMETHRIN 1% LOTION

Facility

$36.00

Hospital Charge Code	60635675
Hospital Revenue Code	250
Min. Negotiated Rate	$4.68
Max. Negotiated Rate	$18.00
Rate for Payer: Aetna Commercial	$10.80
Rate for Payer: Aetna Medicare Advantage	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.18
Rate for Payer: Cigna Commercial	$18.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.68
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.40
Rate for Payer: UnitedHealthcare Commercial	$18.00

PERMETHRIN 5 % CRE

Facility

$795.96

Service Code	NDC 45802026937
Hospital Charge Code	6010342
Hospital Revenue Code	250
Min. Negotiated Rate	$103.47
Max. Negotiated Rate	$397.98
Rate for Payer: Aetna Commercial	$238.79
Rate for Payer: Aetna Medicare Advantage	$238.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.97
Rate for Payer: Cigna Commercial	$397.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.47
Rate for Payer: Oxford Commercial	$397.98
Rate for Payer: Qualcare PPO/HMO/WC	$119.39
Rate for Payer: UnitedHealthcare Commercial	$397.98

PERMETHRIN 5 % CRE

Facility

$795.96

Service Code	NDC 45802026937
Hospital Charge Code	6010342
Hospital Revenue Code	250
Min. Negotiated Rate	$119.39
Max. Negotiated Rate	$119.39
Rate for Payer: Qualcare PPO/HMO/WC	$119.39

PERM PACEMAKER ATRIA

Facility

$57,852.45

Service Code	HCPCS 33206
Hospital Charge Code	7411009
Hospital Revenue Code	480
Min. Negotiated Rate	$471.50
Max. Negotiated Rate	$47,726.04
Rate for Payer: Aetna Better Health Medicaid	$46,790.24
Rate for Payer: Aetna Commercial	$17,355.74
Rate for Payer: Aetna Medicare Advantage	$17,355.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,752.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,752.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$471.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,752.37
Rate for Payer: Cigna Commercial	$24,890.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,520.82
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,677.87
Rate for Payer: UnitedHealthcare Commercial	$1,793.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$47,726.04

PERM PACEMAKER ATRIA

Facility

$57,852.45

Service Code	HCPCS 33206
Hospital Charge Code	366833206
Hospital Revenue Code	480
Min. Negotiated Rate	$471.50
Max. Negotiated Rate	$47,726.04
Rate for Payer: Aetna Better Health Medicaid	$46,790.24
Rate for Payer: Aetna Commercial	$17,355.74
Rate for Payer: Aetna Medicare Advantage	$17,355.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,752.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,752.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$471.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,752.37
Rate for Payer: Cigna Commercial	$24,890.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,520.82
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,677.87
Rate for Payer: UnitedHealthcare Commercial	$1,793.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$47,726.04

Know your out-of-pocket cost for care.

All Charges