Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE
The hospitals that file a Bcbs Nj rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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48 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Children's Hospital of Philadelphia, The Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $1,016 | $1,016 – $1,016 |
| 2 | Clara Maass Medical Center Belleville, NJ fee schedule · outpatient | 1 | $789.37 | $789.37 – $789.37 |
| 3 | Clara Maass Medical Center Belleville, NJ percent of total billed charges · outpatientfrom % of charges | 6 | $1,069 | $698.78 – $1,586 |
| 4 | Community Medical Center Toms River, NJ fee schedule · outpatient | 1 | $768.94 | $768.94 – $768.94 |
| 5 | Community Medical Center Toms River, NJ percent of total billed charges · outpatientfrom % of charges | 6 | $2,228 | $1,827 – $2,574 |
| 6 | Cooperman Barnabas Medical Center Livingston, NJ fee schedule · outpatient | 1 | $789.37 | $789.37 – $789.37 |
| 7 | Fox Chase Cancer Center Philadelphia, PA facility · fee schedule · outpatient | 1 | $727.51 | $727.51 – $727.51 |
| 8 | Fox Chase Cancer Center Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2,214 | $2,214 – $2,214 |
| 9 | Jersey City Medical Center Jersey City, NJ fee schedule · outpatient | 1 | $828.59 | $828.59 – $828.59 |
| 10 | Jersey City Medical Center Jersey City, NJ percent of total billed charges · outpatientfrom % of charges | 6 | $1,797 | $1,261 – $2,553 |
| 11 | Monmouth Medical Center Long Branch, NJ fee schedule · outpatient | 1 | $778.78 | $778.78 – $778.78 |
| 12 | Monmouth Medical Center Long Branch, NJ percent of total billed charges · outpatientfrom % of charges | 6 | $2,387 | $1,621 – $2,779 |
| 13 | Monmouth Medical Center Southern Campus Lakewood, NJ fee schedule · outpatient | 1 | $768.94 | $768.94 – $768.94 |
| 14 | Monmouth Medical Center Southern Campus Lakewood, NJ percent of total billed charges · outpatientfrom % of charges | 6 | $2,268 | $1,796 – $2,732 |
| 15 | Newark Beth Israel Medical Center Newark, NJ fee schedule · outpatient | 1 | $789.37 | $789.37 – $789.37 |
| 16 | Newark Beth Israel Medical Center Newark, NJ percent of total billed charges · outpatientfrom % of charges | 6 | $1,909 | $1,375 – $2,462 |
| 17 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · other · outpatient | 2 | $1,071 | $740.66 – $1,401 |
| 18 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $5,190 | $5,190 – $5,190 |
| 19 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2,906 | $2,647 – $3,166 |
| 20 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · other · outpatient | 2 | $1,071 | $740.66 – $1,401 |
| 21 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $5,190 | $5,190 – $5,190 |
| 22 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2,906 | $2,647 – $3,166 |
| 23 | Robert Wood Johnson University Hospital Hamilton Hamilton Township, NJ fee schedule · outpatient | 5 | $2,671 | $768.94 – $3,402 |
| 24 | Robert Wood Johnson University Hospital New Brunswick New Brunswick, NJ fee schedule · outpatient | 1 | $816.39 | $816.39 – $816.39 |
| 25 | Robert Wood Johnson University Hospital New Brunswick New Brunswick, NJ percent of total billed charges · outpatientfrom % of charges | 6 | $1,926 | $1,390 – $2,195 |
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