Heights University Hospital

All Charges

Charge

Type

Setting

Price

ADJUSTMENT DISORDERS

Facility

$15,872.30

Service Code	APR-DRG 7554
Min. Negotiated Rate	$9,068.08
Max. Negotiated Rate	$15,872.30
Rate for Payer: Aetna Better Health Medicaid	$15,561.08
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,872.30
Rate for Payer: Wellpoint Medicaid Managed Care	$9,068.08

ADMIN INJECT ANTIBIOTIC IM

Facility

$138.65

Service Code	HCPCS 96372
Hospital Charge Code	9400110
Hospital Revenue Code	940
Min. Negotiated Rate	$13.49
Max. Negotiated Rate	$1,558.00
Rate for Payer: Aetna Commercial	$41.59
Rate for Payer: Aetna Medicare Advantage	$41.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.36
Rate for Payer: Cigna Commercial	$171.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.02
Rate for Payer: Oxford Commercial	$1,373.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.80
Rate for Payer: UnitedHealthcare Commercial	$1,558.00

ADMIN INJECT ANTIBIOTIC IM

Facility

$138.65

Service Code	HCPCS 96372
Hospital Charge Code	9400110
Hospital Revenue Code	940
Min. Negotiated Rate	$20.80
Max. Negotiated Rate	$20.80
Rate for Payer: Qualcare PPO/HMO/WC	$20.80

ADMIN INJECT THERAPEUT SUBQ/IM

Facility

$138.65

Service Code	HCPCS 96372
Hospital Charge Code	9400102
Hospital Revenue Code	940
Min. Negotiated Rate	$13.49
Max. Negotiated Rate	$1,558.00
Rate for Payer: Aetna Commercial	$41.59
Rate for Payer: Aetna Medicare Advantage	$41.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.36
Rate for Payer: Cigna Commercial	$171.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.02
Rate for Payer: Oxford Commercial	$1,373.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.80
Rate for Payer: UnitedHealthcare Commercial	$1,558.00

ADMIN INJECT THERAPEUT SUBQ/IM

Facility

$138.65

Service Code	HCPCS 96372
Hospital Charge Code	9400102
Hospital Revenue Code	940
Min. Negotiated Rate	$20.80
Max. Negotiated Rate	$20.80
Rate for Payer: Qualcare PPO/HMO/WC	$20.80

ADMIN OF NITRIC OXIDE

Facility

$545.00

Hospital Charge Code	31701000
Hospital Revenue Code	410
Min. Negotiated Rate	$70.85
Max. Negotiated Rate	$1,004.00
Rate for Payer: Aetna Commercial	$163.50
Rate for Payer: Aetna Medicare Advantage	$163.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.97
Rate for Payer: Cigna Commercial	$272.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.85
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$81.75
Rate for Payer: UnitedHealthcare Commercial	$1,004.00

ADMIN OF NITRIC OXIDE

Facility

$545.00

Hospital Charge Code	31701000
Hospital Revenue Code	410
Min. Negotiated Rate	$81.75
Max. Negotiated Rate	$81.75
Rate for Payer: Qualcare PPO/HMO/WC	$81.75

ADMIN VACCIN EA ADD'L NONMCARE

Facility

$46.25

Service Code	HCPCS 90472
Hospital Charge Code	9400012
Hospital Revenue Code	940
Min. Negotiated Rate	$6.94
Max. Negotiated Rate	$6.94
Rate for Payer: Qualcare PPO/HMO/WC	$6.94

ADMIN VACCIN EA ADD'L NONMCARE

Facility

$46.25

Service Code	HCPCS 90472
Hospital Charge Code	9400012
Hospital Revenue Code	940
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$1,558.00
Rate for Payer: Aetna Commercial	$13.88
Rate for Payer: Aetna Medicare Advantage	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.79
Rate for Payer: Cigna Commercial	$18.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.01
Rate for Payer: Oxford Commercial	$1,373.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.94
Rate for Payer: UnitedHealthcare Commercial	$1,558.00

ADMIN VACCINE FLU

Facility

$254.15

Service Code	HCPCS 90471
Hospital Charge Code	260122
Hospital Revenue Code	771
Min. Negotiated Rate	$21.85
Max. Negotiated Rate	$171.47
Rate for Payer: Aetna Commercial	$76.25
Rate for Payer: Aetna Medicare Advantage	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.81
Rate for Payer: Cigna Commercial	$171.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.04
Rate for Payer: Oxford Commercial	$91.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.12
Rate for Payer: UnitedHealthcare Commercial	$103.00

ADMIN VACCINE FLU

Facility

$254.15

Service Code	HCPCS 90471
Hospital Charge Code	260122
Hospital Revenue Code	771
Min. Negotiated Rate	$38.12
Max. Negotiated Rate	$38.12
Rate for Payer: Qualcare PPO/HMO/WC	$38.12

ADMIN VACCIN FIRST NONMCARE

Facility

$46.25

Service Code	HCPCS 90471
Hospital Charge Code	9400010
Hospital Revenue Code	771
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$171.47
Rate for Payer: Aetna Commercial	$13.88
Rate for Payer: Aetna Medicare Advantage	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.79
Rate for Payer: Cigna Commercial	$171.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.01
Rate for Payer: Oxford Commercial	$91.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.94
Rate for Payer: UnitedHealthcare Commercial	$103.00

ADMIN VACCIN FIRST NONMCARE

Facility

$46.25

Service Code	HCPCS 90471
Hospital Charge Code	9400010
Hospital Revenue Code	771
Min. Negotiated Rate	$6.94
Max. Negotiated Rate	$6.94
Rate for Payer: Qualcare PPO/HMO/WC	$6.94

ADMIN VACCIN HEP B MCARE ONLY

Facility

$29.65

Hospital Charge Code	9400014
Hospital Revenue Code	771
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$103.00
Rate for Payer: Aetna Commercial	$8.89
Rate for Payer: Aetna Medicare Advantage	$8.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.56
Rate for Payer: Cigna Commercial	$14.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$91.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.45
Rate for Payer: UnitedHealthcare Commercial	$103.00

ADMIN VACCIN HEP B MCARE ONLY

Facility

$29.65

Hospital Charge Code	9400014
Hospital Revenue Code	771
Min. Negotiated Rate	$4.45
Max. Negotiated Rate	$4.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.45

ADMIN VACCIN INFLZA MCARE ONLY

Facility

$46.25

Hospital Charge Code	9400016
Hospital Revenue Code	771
Min. Negotiated Rate	$6.94
Max. Negotiated Rate	$6.94
Rate for Payer: Qualcare PPO/HMO/WC	$6.94

ADMIN VACCIN INFLZA MCARE ONLY

Facility

$46.25

Hospital Charge Code	9400016
Hospital Revenue Code	771
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$103.00
Rate for Payer: Aetna Commercial	$13.88
Rate for Payer: Aetna Medicare Advantage	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.79
Rate for Payer: Cigna Commercial	$23.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.01
Rate for Payer: Oxford Commercial	$91.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.94
Rate for Payer: UnitedHealthcare Commercial	$103.00

ADMIN VACCIN PNEUMC MCARE ONLY

Facility

$68.75

Hospital Charge Code	9400018
Hospital Revenue Code	771
Min. Negotiated Rate	$10.31
Max. Negotiated Rate	$10.31
Rate for Payer: Qualcare PPO/HMO/WC	$10.31

ADMIN VACCIN PNEUMC MCARE ONLY

Facility

$68.75

Hospital Charge Code	9400018
Hospital Revenue Code	771
Min. Negotiated Rate	$8.94
Max. Negotiated Rate	$103.00
Rate for Payer: Aetna Commercial	$20.62
Rate for Payer: Aetna Medicare Advantage	$20.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.53
Rate for Payer: Cigna Commercial	$34.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.94
Rate for Payer: Oxford Commercial	$91.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.31
Rate for Payer: UnitedHealthcare Commercial	$103.00

A & D OINTMENT 5 GM

Facility

$5.00

Hospital Charge Code	60628432W
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

A & D OINTMENT 5 GM

Facility

$5.00

Hospital Charge Code	60628432W
Hospital Revenue Code	250
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.65
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$2.50

ADRENAL AB W/RFX

Facility

$390.00

Service Code	HCPCS 86255
Hospital Charge Code	39900203
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ADRENAL AB W/RFX

Facility

$390.00

Service Code	HCPCS 86255
Hospital Charge Code	39900203
Hospital Revenue Code	302
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$39.04
Rate for Payer: Aetna Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.15
Rate for Payer: Cigna Commercial	$12.05
Rate for Payer: Cigna Medicare Advantage	$6.03
Rate for Payer: Clover Medicare Advantage	$11.45
Rate for Payer: EmblemHealth Commercial	$36.15
Rate for Payer: Humana Medicare Advantage	$12.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.77
Rate for Payer: Wellcare Medicare Advantage	$12.05

ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC

Facility

$75,440.85

Service Code	MSDRG 614
Min. Negotiated Rate	$23,889.60
Max. Negotiated Rate	$75,440.85
Rate for Payer: Aetna Commercial	$73,907.24
Rate for Payer: Aetna Medicare Advantage	$23,918.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62,025.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62,025.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25,146.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62,025.75
Rate for Payer: Cigna Commercial	$47,169.73
Rate for Payer: Cigna Medicare Advantage	$25,146.95
Rate for Payer: Clover Medicare Advantage	$23,889.60
Rate for Payer: EmblemHealth Commercial	$75,440.85
Rate for Payer: Humana Medicare Advantage	$25,901.36
Rate for Payer: Oxford Commercial	$29,479.71
Rate for Payer: UnitedHealthcare Commercial	$33,462.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$25,146.95
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$26,655.77
Rate for Payer: Wellcare Medicare Advantage	$25,146.95

ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC

Facility

$52,437.93

Service Code	MSDRG 615
Min. Negotiated Rate	$15,269.98
Max. Negotiated Rate	$52,437.93
Rate for Payer: Aetna Commercial	$47,184.24
Rate for Payer: Aetna Medicare Advantage	$15,269.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40,523.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40,523.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,479.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40,523.49
Rate for Payer: Cigna Commercial	$30,114.34
Rate for Payer: Cigna Medicare Advantage	$17,479.31
Rate for Payer: Clover Medicare Advantage	$16,605.34
Rate for Payer: EmblemHealth Commercial	$52,437.93
Rate for Payer: Humana Medicare Advantage	$18,003.69
Rate for Payer: Oxford Commercial	$18,820.58
Rate for Payer: UnitedHealthcare Commercial	$21,363.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,479.31
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18,528.07
Rate for Payer: Wellcare Medicare Advantage	$17,479.31

Know your out-of-pocket cost for care.

All Charges