Heights University Hospital

All Charges

Charge

Type

Setting

Price

CERV STANDALONE 16X14X8H

Facility

$18,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270703790
Hospital Revenue Code	278
Min. Negotiated Rate	$2,737.50
Max. Negotiated Rate	$9,125.00
Rate for Payer: Aetna Commercial	$5,475.00
Rate for Payer: Aetna Medicare Advantage	$5,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,653.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,653.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,653.75
Rate for Payer: Cigna Commercial	$9,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,416.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,737.50

CERV VARIABLE TAP SCREW

Facility

$1,000.00

Hospital Charge Code	270702204
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

CERV VARIABLE TAP SCREW

Facility

$1,000.00

Hospital Charge Code	270702204
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

CESAREAN DELIVERY PACK *****

Facility

$128.00

Hospital Charge Code	1801018
Hospital Revenue Code	272
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

CESAREAN DELIVERY PACK *****

Facility

$128.00

Hospital Charge Code	1801018
Hospital Revenue Code	272
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

CESAREAN SECTION WITHOUT STERILIZATION

Facility

$8,063.99

Service Code	APR-DRG 5401
Min. Negotiated Rate	$5,245.68
Max. Negotiated Rate	$8,063.99
Rate for Payer: Aetna Better Health Medicaid	$7,905.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,063.99
Rate for Payer: Wellpoint Medicaid Managed Care	$5,245.68

CESAREAN SECTION WITHOUT STERILIZATION

Facility

$9,885.41

Service Code	APR-DRG 5402
Min. Negotiated Rate	$6,270.76
Max. Negotiated Rate	$9,885.41
Rate for Payer: Aetna Better Health Medicaid	$9,691.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,885.41
Rate for Payer: Wellpoint Medicaid Managed Care	$6,270.76

CESAREAN SECTION WITHOUT STERILIZATION

Facility

$12,560.81

Service Code	APR-DRG 5403
Min. Negotiated Rate	$8,989.73
Max. Negotiated Rate	$12,560.81
Rate for Payer: Aetna Better Health Medicaid	$12,314.52
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,560.81
Rate for Payer: Wellpoint Medicaid Managed Care	$8,989.73

CESAREAN SECTION WITHOUT STERILIZATION

Facility

$25,432.17

Service Code	APR-DRG 5404
Min. Negotiated Rate	$23,197.10
Max. Negotiated Rate	$25,432.17
Rate for Payer: Aetna Better Health Medicaid	$23,197.10
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,661.04
Rate for Payer: Wellpoint Medicaid Managed Care	$25,432.17

CESAREAN SECTION WITHOUT STERILIZATION WITH CC

Facility

$44,238.18

Service Code	MSDRG 787
Min. Negotiated Rate	$12,187.17
Max. Negotiated Rate	$44,238.18
Rate for Payer: Aetna Commercial	$37,658.36
Rate for Payer: Aetna Medicare Advantage	$12,187.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,945.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,945.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,746.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,945.35
Rate for Payer: Cigna Commercial	$24,034.65
Rate for Payer: Cigna Medicare Advantage	$14,746.06
Rate for Payer: Clover Medicare Advantage	$14,008.76
Rate for Payer: EmblemHealth Commercial	$44,238.18
Rate for Payer: Humana Medicare Advantage	$15,188.44
Rate for Payer: Oxford Commercial	$20,185.00
Rate for Payer: UnitedHealthcare Commercial	$22,911.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,746.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,630.82
Rate for Payer: Wellcare Medicare Advantage	$14,746.06

CESAREAN SECTION WITHOUT STERILIZATION WITH MCC

Facility

$59,700.18

Service Code	MSDRG 786
Min. Negotiated Rate	$18,000.31
Max. Negotiated Rate	$59,700.18
Rate for Payer: Aetna Commercial	$55,620.96
Rate for Payer: Aetna Medicare Advantage	$18,000.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48,242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48,242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,900.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48,242.25
Rate for Payer: Cigna Commercial	$35,498.89
Rate for Payer: Cigna Medicare Advantage	$19,900.06
Rate for Payer: Clover Medicare Advantage	$18,905.06
Rate for Payer: EmblemHealth Commercial	$59,700.18
Rate for Payer: Humana Medicare Advantage	$20,497.06
Rate for Payer: Oxford Commercial	$20,185.00
Rate for Payer: UnitedHealthcare Commercial	$22,911.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,900.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,094.06
Rate for Payer: Wellcare Medicare Advantage	$19,900.06

CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC

Facility

$39,652.11

Service Code	MSDRG 788
Min. Negotiated Rate	$10,462.98
Max. Negotiated Rate	$39,652.11
Rate for Payer: Aetna Commercial	$32,330.61
Rate for Payer: Aetna Medicare Advantage	$10,462.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,707.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,707.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,217.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,707.62
Rate for Payer: Cigna Commercial	$20,634.33
Rate for Payer: Cigna Medicare Advantage	$13,217.37
Rate for Payer: Clover Medicare Advantage	$12,556.50
Rate for Payer: EmblemHealth Commercial	$39,652.11
Rate for Payer: Humana Medicare Advantage	$13,613.89
Rate for Payer: Oxford Commercial	$20,185.00
Rate for Payer: UnitedHealthcare Commercial	$22,911.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,217.37
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,010.41
Rate for Payer: Wellcare Medicare Advantage	$13,217.37

CESAREAN SECTION WITH STERILIZATION

Facility

$9,559.65

Service Code	APR-DRG 5392
Min. Negotiated Rate	$9,372.21
Max. Negotiated Rate	$9,559.65
Rate for Payer: Aetna Better Health Medicaid	$9,372.21
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,559.65

CESAREAN SECTION WITH STERILIZATION

Facility

$31,237.65

Service Code	APR-DRG 5394
Min. Negotiated Rate	$30,625.15
Max. Negotiated Rate	$31,237.65
Rate for Payer: Aetna Better Health Medicaid	$30,625.15
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,237.65

CESAREAN SECTION WITH STERILIZATION

Facility

$8,261.99

Service Code	APR-DRG 5391
Min. Negotiated Rate	$8,099.99
Max. Negotiated Rate	$8,261.99
Rate for Payer: Aetna Better Health Medicaid	$8,099.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,261.99

CESAREAN SECTION WITH STERILIZATION

Facility

$13,519.97

Service Code	APR-DRG 5393
Min. Negotiated Rate	$13,254.87
Max. Negotiated Rate	$13,519.97
Rate for Payer: Aetna Better Health Medicaid	$13,254.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,519.97

CESAREAN SECTION WITH STERILIZATION WITH CC

Facility

$42,592.41

Service Code	MSDRG 784
Min. Negotiated Rate	$11,568.43
Max. Negotiated Rate	$42,592.41
Rate for Payer: Aetna Commercial	$35,746.45
Rate for Payer: Aetna Medicare Advantage	$11,568.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,118.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,118.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,197.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,118.34
Rate for Payer: Cigna Commercial	$22,814.41
Rate for Payer: Cigna Medicare Advantage	$14,197.47
Rate for Payer: Clover Medicare Advantage	$13,487.60
Rate for Payer: EmblemHealth Commercial	$42,592.41
Rate for Payer: Humana Medicare Advantage	$14,623.39
Rate for Payer: Oxford Commercial	$20,185.00
Rate for Payer: UnitedHealthcare Commercial	$22,911.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,197.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,049.32
Rate for Payer: Wellcare Medicare Advantage	$14,197.47

CESAREAN SECTION WITH STERILIZATION WITH MCC

Facility

$83,083.32

Service Code	MSDRG 783
Min. Negotiated Rate	$20,185.00
Max. Negotiated Rate	$83,083.32
Rate for Payer: Aetna Commercial	$82,785.67
Rate for Payer: Aetna Medicare Advantage	$26,791.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48,793.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48,793.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,694.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48,793.59
Rate for Payer: Cigna Commercial	$52,836.21
Rate for Payer: Cigna Medicare Advantage	$27,694.44
Rate for Payer: Clover Medicare Advantage	$26,309.72
Rate for Payer: EmblemHealth Commercial	$83,083.32
Rate for Payer: Humana Medicare Advantage	$28,525.27
Rate for Payer: Oxford Commercial	$20,185.00
Rate for Payer: UnitedHealthcare Commercial	$22,911.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,694.44
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$29,356.11
Rate for Payer: Wellcare Medicare Advantage	$27,694.44

CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC

Facility

$39,623.07

Service Code	MSDRG 785
Min. Negotiated Rate	$10,452.07
Max. Negotiated Rate	$39,623.07
Rate for Payer: Aetna Commercial	$32,296.90
Rate for Payer: Aetna Medicare Advantage	$10,452.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,983.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,983.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,207.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,983.29
Rate for Payer: Cigna Commercial	$20,612.81
Rate for Payer: Cigna Medicare Advantage	$13,207.69
Rate for Payer: Clover Medicare Advantage	$12,547.31
Rate for Payer: EmblemHealth Commercial	$39,623.07
Rate for Payer: Humana Medicare Advantage	$13,603.92
Rate for Payer: Oxford Commercial	$20,185.00
Rate for Payer: UnitedHealthcare Commercial	$22,911.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,207.69
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,000.15
Rate for Payer: Wellcare Medicare Advantage	$13,207.69

CESSJ THERAPY CATH REMOVAL

Facility

$6,404.20

Service Code	HCPCS 37214
Hospital Charge Code	5600232
Hospital Revenue Code	361
Min. Negotiated Rate	$832.55
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$1,921.26
Rate for Payer: Aetna Medicare Advantage	$1,921.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,633.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,633.07
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	$1,633.07
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$832.55
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$960.63
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

CESSJ THERAPY CATH REMOVAL

Facility

$10,333.93

Service Code	HCPCS 37214
Hospital Charge Code	7411507
Hospital Revenue Code	361
Min. Negotiated Rate	$1,343.41
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$3,100.18
Rate for Payer: Aetna Medicare Advantage	$3,100.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,635.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,635.15
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	$2,635.15
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,343.41
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,550.09
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

CESSJ THERAPY CATH REMOVAL

Facility

$13,241.04

Service Code	HCPCS 37214
Hospital Charge Code	2692245
Hospital Revenue Code	361
Min. Negotiated Rate	$1,986.16
Max. Negotiated Rate	$1,986.16
Rate for Payer: Qualcare PPO/HMO/WC	$1,986.16

CESSJ THERAPY CATH REMOVAL

Facility

$6,404.20

Service Code	HCPCS 37214
Hospital Charge Code	321037214
Hospital Revenue Code	361
Min. Negotiated Rate	$832.55
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$1,921.26
Rate for Payer: Aetna Medicare Advantage	$1,921.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,633.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,633.07
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	$1,633.07
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$832.55
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$960.63
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

CESSJ THERAPY CATH REMOVAL

Facility

$13,241.04

Service Code	HCPCS 37214
Hospital Charge Code	2692245
Hospital Revenue Code	361
Min. Negotiated Rate	$1,721.34
Max. Negotiated Rate	$7,519.21
Rate for Payer: Aetna Commercial	$3,972.31
Rate for Payer: Aetna Medicare Advantage	$3,972.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,376.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,376.47
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	$3,376.47
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,721.34
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,986.16
Rate for Payer: UnitedHealthcare Commercial	$2,575.00

CESSJ THERAPY CATH REMOVAL

Facility

$6,404.20

Service Code	HCPCS 37214
Hospital Charge Code	5600232
Hospital Revenue Code	361
Min. Negotiated Rate	$960.63
Max. Negotiated Rate	$960.63
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

Know your out-of-pocket cost for care.

All Charges