Heights University Hospital

All Charges

Charge

Type

Setting

Price

PIPRACIL 4G ADV

Facility

$195.00

Hospital Charge Code	60635043
Hospital Revenue Code	636
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$47.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.19
Rate for Payer: Qualcare PPO/HMO/WC	$29.25

PIPRACIL 4G ADV

Facility

$195.00

Hospital Charge Code	60635043
Hospital Revenue Code	636
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$97.50
Rate for Payer: Aetna Commercial	$58.50
Rate for Payer: Aetna Medicare Advantage	$58.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.73
Rate for Payer: Cigna Commercial	$97.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.19
Rate for Payer: Qualcare PPO/HMO/WC	$29.25

PIPRACIL 4GM (ADD VANT)

Facility

$195.00

Hospital Charge Code	60635041
Hospital Revenue Code	636
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$47.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.19
Rate for Payer: Qualcare PPO/HMO/WC	$29.25

PIPRACIL 4GM (ADD VANT)

Facility

$195.00

Hospital Charge Code	60635041
Hospital Revenue Code	636
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$97.50
Rate for Payer: Aetna Commercial	$58.50
Rate for Payer: Aetna Medicare Advantage	$58.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.73
Rate for Payer: Cigna Commercial	$97.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.19
Rate for Payer: Qualcare PPO/HMO/WC	$29.25

PIPRACIL/4GM/VIAL

Facility

$127.00

Hospital Charge Code	60634504
Hospital Revenue Code	636
Min. Negotiated Rate	$19.05
Max. Negotiated Rate	$30.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.73
Rate for Payer: Qualcare PPO/HMO/WC	$19.05

PIPRACIL/4GM/VIAL

Facility

$127.00

Hospital Charge Code	60634504
Hospital Revenue Code	636
Min. Negotiated Rate	$19.05
Max. Negotiated Rate	$63.50
Rate for Payer: Aetna Commercial	$38.10
Rate for Payer: Aetna Medicare Advantage	$38.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.38
Rate for Payer: Cigna Commercial	$63.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.73
Rate for Payer: Qualcare PPO/HMO/WC	$19.05

PIRBUTEROL ACETATE MDI 25.6G

Facility

$62.75

Hospital Charge Code	6008767
Hospital Revenue Code	252
Min. Negotiated Rate	$9.41
Max. Negotiated Rate	$9.41
Rate for Payer: Qualcare PPO/HMO/WC	$9.41

PIRBUTEROL ACETATE MDI 25.6G

Facility

$62.75

Hospital Charge Code	6008767
Hospital Revenue Code	252
Min. Negotiated Rate	$8.16
Max. Negotiated Rate	$31.38
Rate for Payer: Aetna Commercial	$18.82
Rate for Payer: Aetna Medicare Advantage	$18.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.00
Rate for Payer: Cigna Commercial	$31.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.16
Rate for Payer: Oxford Commercial	$31.38
Rate for Payer: Qualcare PPO/HMO/WC	$9.41
Rate for Payer: UnitedHealthcare Commercial	$31.38

PIRIFORMIS FOSSA FEMORAL NAIL

Facility

$9,904.20

Hospital Charge Code	270657838
Hospital Revenue Code	278
Min. Negotiated Rate	$1,485.63
Max. Negotiated Rate	$2,396.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,980.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,396.82
Rate for Payer: Qualcare PPO/HMO/WC	$1,485.63

PIRIFORMIS FOSSA FEMORAL NAIL

Facility

$9,904.20

Hospital Charge Code	270657838
Hospital Revenue Code	278
Min. Negotiated Rate	$1,485.63
Max. Negotiated Rate	$4,952.10
Rate for Payer: Aetna Commercial	$2,971.26
Rate for Payer: Aetna Medicare Advantage	$2,971.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,525.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,525.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,980.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,525.57
Rate for Payer: Cigna Commercial	$4,952.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,396.82
Rate for Payer: Qualcare PPO/HMO/WC	$1,485.63

PIRIFORMIS FOSSS FEMORAL NAIL

Facility

$9,904.20

Hospital Charge Code	270657837
Hospital Revenue Code	278
Min. Negotiated Rate	$1,485.63
Max. Negotiated Rate	$2,396.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,980.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,396.82
Rate for Payer: Qualcare PPO/HMO/WC	$1,485.63

PIRIFORMIS FOSSS FEMORAL NAIL

Facility

$9,904.20

Hospital Charge Code	270657837
Hospital Revenue Code	278
Min. Negotiated Rate	$1,485.63
Max. Negotiated Rate	$4,952.10
Rate for Payer: Aetna Commercial	$2,971.26
Rate for Payer: Aetna Medicare Advantage	$2,971.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,525.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,525.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,980.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,525.57
Rate for Payer: Cigna Commercial	$4,952.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,396.82
Rate for Payer: Qualcare PPO/HMO/WC	$1,485.63

PIROXICAM 20 MG CAP

Facility

$24.00

Hospital Charge Code	60627695
Hospital Revenue Code	250
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$12.00
Rate for Payer: Aetna Commercial	$7.20
Rate for Payer: Aetna Medicare Advantage	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.12
Rate for Payer: Cigna Commercial	$12.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.12
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.60
Rate for Payer: UnitedHealthcare Commercial	$12.00

PIROXICAM 20 MG CAP

Facility

$24.00

Hospital Charge Code	60627695
Hospital Revenue Code	250
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

PISTON SCHK WIRE EAR .6 140129

Facility

$708.00

Hospital Charge Code	270620114
Hospital Revenue Code	278
Min. Negotiated Rate	$106.20
Max. Negotiated Rate	$354.00
Rate for Payer: Aetna Commercial	$212.40
Rate for Payer: Aetna Medicare Advantage	$212.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$180.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$180.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$180.54
Rate for Payer: Cigna Commercial	$354.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.34
Rate for Payer: Qualcare PPO/HMO/WC	$106.20

PISTON SCHK WIRE EAR .6 140129

Facility

$708.00

Hospital Charge Code	270620114
Hospital Revenue Code	278
Min. Negotiated Rate	$106.20
Max. Negotiated Rate	$171.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.34
Rate for Payer: Qualcare PPO/HMO/WC	$106.20

PISTONS SCHUKT 0.6X4.75 140127

Facility

$457.15

Hospital Charge Code	270620112
Hospital Revenue Code	278
Min. Negotiated Rate	$68.57
Max. Negotiated Rate	$228.57
Rate for Payer: Aetna Commercial	$137.15
Rate for Payer: Aetna Medicare Advantage	$137.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.57
Rate for Payer: Cigna Commercial	$228.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.63
Rate for Payer: Qualcare PPO/HMO/WC	$68.57

PISTONS SCHUKT 0.6X4.75 140127

Facility

$457.15

Hospital Charge Code	270620112
Hospital Revenue Code	278
Min. Negotiated Rate	$68.57
Max. Negotiated Rate	$110.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.63
Rate for Payer: Qualcare PPO/HMO/WC	$68.57

PITCHER W/LID 36 OZ

Facility

$4.00

Hospital Charge Code	270300501
Hospital Revenue Code	270
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

PITCHER W/LID 36 OZ

Facility

$4.00

Hospital Charge Code	270300501
Hospital Revenue Code	270
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

PITOCIN/10U/1ML

Facility

$7.00

Hospital Charge Code	60633667
Hospital Revenue Code	250
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$3.50
Rate for Payer: Aetna Commercial	$2.10
Rate for Payer: Aetna Medicare Advantage	$2.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.78
Rate for Payer: Cigna Commercial	$3.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.91
Rate for Payer: Oxford Commercial	$3.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$3.50

PITOCIN/10U/1ML

Facility

$7.00

Hospital Charge Code	60633667
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

PITOCIN/10U/1ML

Facility

$15.00

Hospital Charge Code	60633666
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$4.50
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.95
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$7.50

PITOCIN/10U/1ML

Facility

$15.00

Hospital Charge Code	60633666
Hospital Revenue Code	250
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

PITOCIN 10U IN LR 1L

Facility

$9,031.60

Service Code	NDC 61553076904
Hospital Charge Code	60635522
Hospital Revenue Code	250
Min. Negotiated Rate	$1,354.74
Max. Negotiated Rate	$1,354.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,354.74

Know your out-of-pocket cost for care.

All Charges