Heights University Hospital

All Charges

Charge

Type

Setting

Price

CORONARY ANGIO ONLY

Facility

$12,026.00

Service Code	HCPCS 93454
Hospital Charge Code	7411221
Hospital Revenue Code	481
Min. Negotiated Rate	$1,563.38
Max. Negotiated Rate	$8,580.00
Rate for Payer: Aetna Commercial	$3,607.80
Rate for Payer: Aetna Medicare Advantage	$3,607.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,066.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,066.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,066.63
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,563.38
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,803.90
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

CORONARY ART/GRFT ANGIO S&I

Facility

$16,190.00

Service Code	HCPCS 93455
Hospital Charge Code	74110064
Hospital Revenue Code	481
Min. Negotiated Rate	$2,104.70
Max. Negotiated Rate	$8,580.00
Rate for Payer: Aetna Commercial	$4,857.00
Rate for Payer: Aetna Medicare Advantage	$4,857.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,128.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,128.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,128.45
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,104.70
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,428.50
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

CORONARY ART/GRFT ANGIO S&I

Facility

$16,190.00

Service Code	HCPCS 93455
Hospital Charge Code	74110064
Hospital Revenue Code	481
Min. Negotiated Rate	$2,428.50
Max. Negotiated Rate	$2,428.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,428.50

CORONARY ART/GRFT ANGIO S&I

Facility

$16,190.00

Service Code	HCPCS 93455
Hospital Charge Code	5100663
Hospital Revenue Code	481
Min. Negotiated Rate	$2,104.70
Max. Negotiated Rate	$8,580.00
Rate for Payer: Aetna Commercial	$4,857.00
Rate for Payer: Aetna Medicare Advantage	$4,857.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,128.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,128.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,128.45
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,104.70
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,428.50
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

CORONARY ART/GRFT ANGIO S&I

Facility

$16,190.00

Service Code	HCPCS 93455
Hospital Charge Code	5100663
Hospital Revenue Code	481
Min. Negotiated Rate	$2,428.50
Max. Negotiated Rate	$2,428.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,428.50

CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$73,555.88

Service Code	APR-DRG 1653
Min. Negotiated Rate	$49,608.83
Max. Negotiated Rate	$73,555.88
Rate for Payer: Aetna Better Health Medicaid	$72,113.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$73,555.88
Rate for Payer: Wellpoint Medicaid Managed Care	$49,608.83

CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$102,486.12

Service Code	APR-DRG 1654
Min. Negotiated Rate	$73,849.73
Max. Negotiated Rate	$102,486.12
Rate for Payer: Aetna Better Health Medicaid	$100,476.59
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$102,486.12
Rate for Payer: Wellpoint Medicaid Managed Care	$73,849.73

CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$61,183.25

Service Code	APR-DRG 1652
Min. Negotiated Rate	$39,020.25
Max. Negotiated Rate	$61,183.25
Rate for Payer: Aetna Better Health Medicaid	$59,983.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$61,183.25
Rate for Payer: Wellpoint Medicaid Managed Care	$39,020.25

CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$52,691.02

Service Code	APR-DRG 1651
Min. Negotiated Rate	$36,282.22
Max. Negotiated Rate	$52,691.02
Rate for Payer: Aetna Better Health Medicaid	$51,657.86
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$52,691.02
Rate for Payer: Wellpoint Medicaid Managed Care	$36,282.22

CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC

Facility

$257,795.24

Service Code	MSDRG 233
Min. Negotiated Rate	$74,014.44
Max. Negotiated Rate	$257,795.24
Rate for Payer: Aetna Commercial	$257,795.24
Rate for Payer: Aetna Medicare Advantage	$83,428.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215,022.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215,022.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$77,909.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215,022.60
Rate for Payer: Cigna Commercial	$164,532.35
Rate for Payer: Cigna Medicare Advantage	$77,909.94
Rate for Payer: Clover Medicare Advantage	$74,014.44
Rate for Payer: EmblemHealth Commercial	$233,729.82
Rate for Payer: Humana Medicare Advantage	$80,247.24
Rate for Payer: Oxford Commercial	$102,827.94
Rate for Payer: UnitedHealthcare Commercial	$116,719.27
Rate for Payer: UnitedHealthcare Medicare Advantage	$77,909.94
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$82,584.54
Rate for Payer: Wellcare Medicare Advantage	$77,909.94

CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC

Facility

$184,201.61

Service Code	MSDRG 234
Min. Negotiated Rate	$53,954.02
Max. Negotiated Rate	$184,201.61
Rate for Payer: Aetna Commercial	$184,201.61
Rate for Payer: Aetna Medicare Advantage	$59,612.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143,348.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143,348.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$56,793.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143,348.40
Rate for Payer: Cigna Commercial	$117,562.77
Rate for Payer: Cigna Medicare Advantage	$56,793.71
Rate for Payer: Clover Medicare Advantage	$53,954.02
Rate for Payer: EmblemHealth Commercial	$170,381.13
Rate for Payer: Humana Medicare Advantage	$58,497.52
Rate for Payer: Oxford Commercial	$73,473.32
Rate for Payer: UnitedHealthcare Commercial	$83,399.04
Rate for Payer: UnitedHealthcare Medicare Advantage	$56,793.71
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$60,201.33
Rate for Payer: Wellcare Medicare Advantage	$56,793.71

CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$61,347.55

Service Code	APR-DRG 1663
Min. Negotiated Rate	$42,461.99
Max. Negotiated Rate	$61,347.55
Rate for Payer: Aetna Better Health Medicaid	$60,144.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$61,347.55
Rate for Payer: Wellpoint Medicaid Managed Care	$42,461.99

CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$46,541.20

Service Code	APR-DRG 1661
Min. Negotiated Rate	$29,997.00
Max. Negotiated Rate	$46,541.20
Rate for Payer: Aetna Better Health Medicaid	$45,628.63
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$46,541.20
Rate for Payer: Wellpoint Medicaid Managed Care	$29,997.00

CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$51,905.90

Service Code	APR-DRG 1662
Min. Negotiated Rate	$33,994.73
Max. Negotiated Rate	$51,905.90
Rate for Payer: Aetna Better Health Medicaid	$50,888.14
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$51,905.90
Rate for Payer: Wellpoint Medicaid Managed Care	$33,994.73

CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$90,216.06

Service Code	APR-DRG 1664
Min. Negotiated Rate	$64,618.55
Max. Negotiated Rate	$90,216.06
Rate for Payer: Aetna Better Health Medicaid	$88,447.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$90,216.06
Rate for Payer: Wellpoint Medicaid Managed Care	$64,618.55

CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC

Facility

$197,888.48

Service Code	MSDRG 235
Min. Negotiated Rate	$57,684.85
Max. Negotiated Rate	$197,888.48
Rate for Payer: Aetna Commercial	$197,888.48
Rate for Payer: Aetna Medicare Advantage	$64,041.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$162,093.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$162,093.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$60,720.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$162,093.96
Rate for Payer: Cigna Commercial	$126,298.14
Rate for Payer: Cigna Medicare Advantage	$60,720.89
Rate for Payer: Clover Medicare Advantage	$57,684.85
Rate for Payer: EmblemHealth Commercial	$182,162.67
Rate for Payer: Humana Medicare Advantage	$62,542.52
Rate for Payer: Oxford Commercial	$78,932.67
Rate for Payer: UnitedHealthcare Commercial	$89,595.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$60,720.89
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$64,364.14
Rate for Payer: Wellcare Medicare Advantage	$60,720.89

CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC

Facility

$141,245.85

Service Code	MSDRG 236
Min. Negotiated Rate	$42,244.99
Max. Negotiated Rate	$141,245.85
Rate for Payer: Aetna Commercial	$141,245.85
Rate for Payer: Aetna Medicare Advantage	$45,710.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111,370.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111,370.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$44,468.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111,370.68
Rate for Payer: Cigna Commercial	$90,147.16
Rate for Payer: Cigna Medicare Advantage	$44,468.41
Rate for Payer: Clover Medicare Advantage	$42,244.99
Rate for Payer: EmblemHealth Commercial	$133,405.23
Rate for Payer: Humana Medicare Advantage	$45,802.46
Rate for Payer: Oxford Commercial	$56,339.36
Rate for Payer: UnitedHealthcare Commercial	$63,950.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$44,468.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$47,136.51
Rate for Payer: Wellcare Medicare Advantage	$44,468.41

CORONARY BYPASS WITH PTCA WITH MCC

Facility

$284,255.22

Service Code	MSDRG 231
Min. Negotiated Rate	$81,226.99
Max. Negotiated Rate	$284,255.22
Rate for Payer: Aetna Commercial	$284,255.22
Rate for Payer: Aetna Medicare Advantage	$91,991.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223,844.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223,844.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$85,502.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223,844.04
Rate for Payer: Cigna Commercial	$181,419.88
Rate for Payer: Cigna Medicare Advantage	$85,502.10
Rate for Payer: Clover Medicare Advantage	$81,226.99
Rate for Payer: EmblemHealth Commercial	$256,506.30
Rate for Payer: Humana Medicare Advantage	$88,067.16
Rate for Payer: Oxford Commercial	$113,382.15
Rate for Payer: UnitedHealthcare Commercial	$128,699.28
Rate for Payer: UnitedHealthcare Medicare Advantage	$85,502.10
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$90,632.23
Rate for Payer: Wellcare Medicare Advantage	$85,502.10

CORONARY BYPASS WITH PTCA WITHOUT MCC

Facility

$204,430.17

Service Code	MSDRG 232
Min. Negotiated Rate	$59,468.00
Max. Negotiated Rate	$204,430.17
Rate for Payer: Aetna Commercial	$204,430.17
Rate for Payer: Aetna Medicare Advantage	$66,158.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164,023.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164,023.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$62,597.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164,023.65
Rate for Payer: Cigna Commercial	$130,473.21
Rate for Payer: Cigna Medicare Advantage	$62,597.89
Rate for Payer: Clover Medicare Advantage	$59,468.00
Rate for Payer: EmblemHealth Commercial	$187,793.67
Rate for Payer: Humana Medicare Advantage	$64,475.83
Rate for Payer: Oxford Commercial	$81,541.97
Rate for Payer: UnitedHealthcare Commercial	$92,557.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$62,597.89
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$66,353.76
Rate for Payer: Wellcare Medicare Advantage	$62,597.89

CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC

Facility

$145,919.41

Service Code	MSDRG 323
Min. Negotiated Rate	$43,518.93
Max. Negotiated Rate	$145,919.41
Rate for Payer: Aetna Commercial	$145,919.41
Rate for Payer: Aetna Medicare Advantage	$47,223.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$45,809.40
Rate for Payer: Cigna Commercial	$93,129.98
Rate for Payer: Cigna Medicare Advantage	$45,809.40
Rate for Payer: Clover Medicare Advantage	$43,518.93
Rate for Payer: EmblemHealth Commercial	$137,428.20
Rate for Payer: Humana Medicare Advantage	$47,183.68
Rate for Payer: Oxford Commercial	$58,203.53
Rate for Payer: UnitedHealthcare Commercial	$66,066.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$45,809.40
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$48,557.96
Rate for Payer: Wellcare Medicare Advantage	$45,809.40

CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC

Facility

$106,251.35

Service Code	MSDRG 324
Min. Negotiated Rate	$32,706.07
Max. Negotiated Rate	$106,251.35
Rate for Payer: Aetna Commercial	$106,251.35
Rate for Payer: Aetna Medicare Advantage	$34,385.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34,427.44
Rate for Payer: Cigna Commercial	$67,812.67
Rate for Payer: Cigna Medicare Advantage	$34,427.44
Rate for Payer: Clover Medicare Advantage	$32,706.07
Rate for Payer: EmblemHealth Commercial	$103,282.32
Rate for Payer: Humana Medicare Advantage	$35,460.26
Rate for Payer: Oxford Commercial	$42,380.95
Rate for Payer: UnitedHealthcare Commercial	$48,106.32
Rate for Payer: UnitedHealthcare Medicare Advantage	$34,427.44
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$36,493.09
Rate for Payer: Wellcare Medicare Advantage	$34,427.44

CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE

Facility

$108,254.32

Service Code	MSDRG 325
Min. Negotiated Rate	$33,252.04
Max. Negotiated Rate	$108,254.32
Rate for Payer: Aetna Commercial	$108,254.32
Rate for Payer: Aetna Medicare Advantage	$35,033.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35,002.15
Rate for Payer: Cigna Commercial	$69,091.02
Rate for Payer: Cigna Medicare Advantage	$35,002.15
Rate for Payer: Clover Medicare Advantage	$33,252.04
Rate for Payer: EmblemHealth Commercial	$105,006.45
Rate for Payer: Humana Medicare Advantage	$36,052.21
Rate for Payer: Oxford Commercial	$43,179.88
Rate for Payer: UnitedHealthcare Commercial	$49,013.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$35,002.15
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$37,102.28
Rate for Payer: Wellcare Medicare Advantage	$35,002.15

CORONARY RISK COMPRE ASSESSM**

Facility

$58.00

Service Code	HCPCS 80061
Hospital Charge Code	3001484
Hospital Revenue Code	301
Min. Negotiated Rate	$8.70
Max. Negotiated Rate	$8.70
Rate for Payer: Qualcare PPO/HMO/WC	$8.70

CORONARY RISK COMPRE ASSESSM**

Facility

$58.00

Service Code	HCPCS 80061
Hospital Charge Code	3001484
Hospital Revenue Code	301
Min. Negotiated Rate	$6.70
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$43.38
Rate for Payer: Aetna Medicare Advantage	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.06
Rate for Payer: Cigna Commercial	$13.39
Rate for Payer: Cigna Medicare Advantage	$6.70
Rate for Payer: Clover Medicare Advantage	$12.72
Rate for Payer: EmblemHealth Commercial	$40.17
Rate for Payer: Humana Medicare Advantage	$13.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.54
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.70
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.19
Rate for Payer: Wellcare Medicare Advantage	$13.39

CORONARY SVG ANGIO ONLY

Facility

$12,026.00

Service Code	HCPCS 93455
Hospital Charge Code	7411225
Hospital Revenue Code	481
Min. Negotiated Rate	$1,563.38
Max. Negotiated Rate	$8,580.00
Rate for Payer: Aetna Commercial	$3,607.80
Rate for Payer: Aetna Medicare Advantage	$3,607.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,066.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,066.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,066.63
Rate for Payer: Cigna Commercial	$7,720.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,563.38
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,803.90
Rate for Payer: UnitedHealthcare Commercial	$8,580.00

Know your out-of-pocket cost for care.

All Charges