Heights University Hospital

All Charges

Charge

Type

Setting

Price

AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC

Facility

$65,952.33

Service Code	MSDRG 559
Min. Negotiated Rate	$20,350.88
Max. Negotiated Rate	$65,952.33
Rate for Payer: Aetna Commercial	$62,884.22
Rate for Payer: Aetna Medicare Advantage	$20,350.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50,998.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50,998.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,984.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50,998.95
Rate for Payer: Cigna Commercial	$40,134.51
Rate for Payer: Cigna Medicare Advantage	$21,984.11
Rate for Payer: Clover Medicare Advantage	$20,884.90
Rate for Payer: EmblemHealth Commercial	$65,952.33
Rate for Payer: Humana Medicare Advantage	$22,643.63
Rate for Payer: Oxford Commercial	$25,082.90
Rate for Payer: UnitedHealthcare Commercial	$28,471.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,984.11
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23,303.16
Rate for Payer: Wellcare Medicare Advantage	$21,984.11

AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC

Facility

$35,156.01

Service Code	MSDRG 561
Min. Negotiated Rate	$8,772.63
Max. Negotiated Rate	$35,156.01
Rate for Payer: Aetna Commercial	$27,107.43
Rate for Payer: Aetna Medicare Advantage	$8,772.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,502.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,502.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,718.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,502.26
Rate for Payer: Cigna Commercial	$17,300.73
Rate for Payer: Cigna Medicare Advantage	$11,718.67
Rate for Payer: Clover Medicare Advantage	$11,132.74
Rate for Payer: EmblemHealth Commercial	$35,156.01
Rate for Payer: Humana Medicare Advantage	$12,070.23
Rate for Payer: Oxford Commercial	$10,812.45
Rate for Payer: UnitedHealthcare Commercial	$12,273.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,718.67
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12,421.79
Rate for Payer: Wellcare Medicare Advantage	$11,718.67

AFTERCARE WITH CC/MCC

Facility

$46,354.14

Service Code	MSDRG 949
Min. Negotiated Rate	$12,982.70
Max. Negotiated Rate	$46,354.14
Rate for Payer: Aetna Commercial	$40,116.54
Rate for Payer: Aetna Medicare Advantage	$12,982.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29,496.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29,496.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,451.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29,496.69
Rate for Payer: Cigna Commercial	$25,603.53
Rate for Payer: Cigna Medicare Advantage	$15,451.38
Rate for Payer: Clover Medicare Advantage	$14,678.81
Rate for Payer: EmblemHealth Commercial	$46,354.14
Rate for Payer: Humana Medicare Advantage	$15,914.92
Rate for Payer: Oxford Commercial	$16,001.47
Rate for Payer: UnitedHealthcare Commercial	$18,163.15
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,451.38
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16,378.46
Rate for Payer: Wellcare Medicare Advantage	$15,451.38

AFTERCARE WITHOUT CC/MCC

Facility

$30,041.67

Service Code	MSDRG 950
Min. Negotiated Rate	$6,849.83
Max. Negotiated Rate	$30,041.67
Rate for Payer: Aetna Commercial	$21,165.97
Rate for Payer: Aetna Medicare Advantage	$6,849.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17,642.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17,642.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,013.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17,642.88
Rate for Payer: Cigna Commercial	$13,508.73
Rate for Payer: Cigna Medicare Advantage	$10,013.89
Rate for Payer: Clover Medicare Advantage	$9,513.20
Rate for Payer: EmblemHealth Commercial	$30,041.67
Rate for Payer: Humana Medicare Advantage	$10,314.31
Rate for Payer: Oxford Commercial	$8,442.57
Rate for Payer: UnitedHealthcare Commercial	$9,583.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,013.89
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10,614.72
Rate for Payer: Wellcare Medicare Advantage	$10,013.89

AFX BIFURCATED BODY

Facility

$65,795.00

Hospital Charge Code	270678375
Hospital Revenue Code	278
Min. Negotiated Rate	$9,869.25
Max. Negotiated Rate	$32,897.50
Rate for Payer: Aetna Commercial	$19,738.50
Rate for Payer: Aetna Medicare Advantage	$19,738.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,777.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,777.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13,159.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,777.72
Rate for Payer: Cigna Commercial	$32,897.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,922.39
Rate for Payer: Qualcare PPO/HMO/WC	$9,869.25

AFX BIFURCATED BODY

Facility

$65,795.00

Hospital Charge Code	270678375
Hospital Revenue Code	278
Min. Negotiated Rate	$9,869.25
Max. Negotiated Rate	$15,922.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13,159.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,922.39
Rate for Payer: Qualcare PPO/HMO/WC	$9,869.25

AG DIRECT ARC

Facility

$88.75

Service Code	HCPCS 86902
Hospital Charge Code	3100520
Hospital Revenue Code	309
Min. Negotiated Rate	$13.31
Max. Negotiated Rate	$13.31
Rate for Payer: Qualcare PPO/HMO/WC	$13.31

AG DIRECT ARC

Facility

$88.75

Service Code	HCPCS 86902
Hospital Charge Code	3100520
Hospital Revenue Code	309
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$853.60
Rate for Payer: Aetna Commercial	$20.57
Rate for Payer: Aetna Medicare Advantage	$6.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.27
Rate for Payer: Cigna Commercial	$853.60
Rate for Payer: Cigna Medicare Advantage	$3.17
Rate for Payer: Clover Medicare Advantage	$6.03
Rate for Payer: EmblemHealth Commercial	$19.05
Rate for Payer: Humana Medicare Advantage	$6.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.54
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.31
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.35
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.73
Rate for Payer: Wellcare Medicare Advantage	$6.35

AG DIRECT BAY

Facility

$88.75

Service Code	HCPCS 86902
Hospital Charge Code	3100521
Hospital Revenue Code	309
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$853.60
Rate for Payer: Aetna Commercial	$20.57
Rate for Payer: Aetna Medicare Advantage	$6.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.27
Rate for Payer: Cigna Commercial	$853.60
Rate for Payer: Cigna Medicare Advantage	$3.17
Rate for Payer: Clover Medicare Advantage	$6.03
Rate for Payer: EmblemHealth Commercial	$19.05
Rate for Payer: Humana Medicare Advantage	$6.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.54
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.31
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.35
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.73
Rate for Payer: Wellcare Medicare Advantage	$6.35

AG DIRECT BAY

Facility

$88.75

Service Code	HCPCS 86902
Hospital Charge Code	3100521
Hospital Revenue Code	309
Min. Negotiated Rate	$13.31
Max. Negotiated Rate	$13.31
Rate for Payer: Qualcare PPO/HMO/WC	$13.31

AG DIRECT BCNJ

Facility

$88.75

Service Code	HCPCS 86902
Hospital Charge Code	3100525
Hospital Revenue Code	309
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$853.60
Rate for Payer: Aetna Commercial	$20.57
Rate for Payer: Aetna Medicare Advantage	$6.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.27
Rate for Payer: Cigna Commercial	$853.60
Rate for Payer: Cigna Medicare Advantage	$3.17
Rate for Payer: Clover Medicare Advantage	$6.03
Rate for Payer: EmblemHealth Commercial	$19.05
Rate for Payer: Humana Medicare Advantage	$6.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.54
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.31
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.35
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.73
Rate for Payer: Wellcare Medicare Advantage	$6.35

AG DIRECT BCNJ

Facility

$88.75

Service Code	HCPCS 86902
Hospital Charge Code	3100525
Hospital Revenue Code	309
Min. Negotiated Rate	$13.31
Max. Negotiated Rate	$13.31
Rate for Payer: Qualcare PPO/HMO/WC	$13.31

AGENERASE 150 MG TAB

Facility

$6.00

Hospital Charge Code	60635331
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

AGENERASE 150 MG TAB

Facility

$6.00

Hospital Charge Code	60635331
Hospital Revenue Code	250
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$1.80
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.78
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$3.00

AGENT BSC DEBULKING INJ 890201

Facility

$883.25

Hospital Charge Code	270627958
Hospital Revenue Code	272
Min. Negotiated Rate	$114.82
Max. Negotiated Rate	$441.62
Rate for Payer: Aetna Commercial	$264.98
Rate for Payer: Aetna Medicare Advantage	$264.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.23
Rate for Payer: Cigna Commercial	$441.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.82
Rate for Payer: Oxford Commercial	$441.62
Rate for Payer: Qualcare PPO/HMO/WC	$132.49
Rate for Payer: UnitedHealthcare Commercial	$441.62

AGENT BSC DEBULKING INJ 890201

Facility

$883.25

Hospital Charge Code	270627958
Hospital Revenue Code	272
Min. Negotiated Rate	$132.49
Max. Negotiated Rate	$132.49
Rate for Payer: Qualcare PPO/HMO/WC	$132.49

AGILON 12CC

Facility

$37,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270695756
Hospital Revenue Code	278
Min. Negotiated Rate	$5,696.25
Max. Negotiated Rate	$18,987.50
Rate for Payer: Aetna Commercial	$11,392.50
Rate for Payer: Aetna Medicare Advantage	$11,392.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,683.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,683.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,683.62
Rate for Payer: Cigna Commercial	$18,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,189.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,696.25

AGILON 12CC

Facility

$37,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270695756
Hospital Revenue Code	278
Min. Negotiated Rate	$5,696.25
Max. Negotiated Rate	$9,189.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,189.95
Rate for Payer: Qualcare PPO/HMO/WC	$5,696.25

AGILON MOLDABLE BONE GRAFT 6CC

Facility

$20,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270695865
Hospital Revenue Code	278
Min. Negotiated Rate	$3,112.50
Max. Negotiated Rate	$5,021.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,021.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,112.50

AGILON MOLDABLE BONE GRAFT 6CC

Facility

$20,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270695865
Hospital Revenue Code	278
Min. Negotiated Rate	$3,112.50
Max. Negotiated Rate	$10,375.00
Rate for Payer: Aetna Commercial	$6,225.00
Rate for Payer: Aetna Medicare Advantage	$6,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,291.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,291.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,291.25
Rate for Payer: Cigna Commercial	$10,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,021.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,112.50

AG INDIRECT ARC

Facility

$88.75

Service Code	HCPCS 86902
Hospital Charge Code	3100522
Hospital Revenue Code	309
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$853.60
Rate for Payer: Aetna Commercial	$20.57
Rate for Payer: Aetna Medicare Advantage	$6.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.27
Rate for Payer: Cigna Commercial	$853.60
Rate for Payer: Cigna Medicare Advantage	$3.17
Rate for Payer: Clover Medicare Advantage	$6.03
Rate for Payer: EmblemHealth Commercial	$19.05
Rate for Payer: Humana Medicare Advantage	$6.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.54
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.31
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.35
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.73
Rate for Payer: Wellcare Medicare Advantage	$6.35

AG INDIRECT ARC

Facility

$88.75

Service Code	HCPCS 86902
Hospital Charge Code	3100522
Hospital Revenue Code	309
Min. Negotiated Rate	$13.31
Max. Negotiated Rate	$13.31
Rate for Payer: Qualcare PPO/HMO/WC	$13.31

AG INDIRECT BAY

Facility

$88.75

Service Code	HCPCS 86902
Hospital Charge Code	3100523
Hospital Revenue Code	309
Min. Negotiated Rate	$13.31
Max. Negotiated Rate	$13.31
Rate for Payer: Qualcare PPO/HMO/WC	$13.31

AG INDIRECT BAY

Facility

$88.75

Service Code	HCPCS 86902
Hospital Charge Code	3100523
Hospital Revenue Code	309
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$853.60
Rate for Payer: Aetna Commercial	$20.57
Rate for Payer: Aetna Medicare Advantage	$6.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.27
Rate for Payer: Cigna Commercial	$853.60
Rate for Payer: Cigna Medicare Advantage	$3.17
Rate for Payer: Clover Medicare Advantage	$6.03
Rate for Payer: EmblemHealth Commercial	$19.05
Rate for Payer: Humana Medicare Advantage	$6.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.54
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.31
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.35
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.73
Rate for Payer: Wellcare Medicare Advantage	$6.35

AG INDIRECT BCNJ

Facility

$88.75

Service Code	HCPCS 86902
Hospital Charge Code	3100527
Hospital Revenue Code	309
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$853.60
Rate for Payer: Aetna Commercial	$20.57
Rate for Payer: Aetna Medicare Advantage	$6.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.27
Rate for Payer: Cigna Commercial	$853.60
Rate for Payer: Cigna Medicare Advantage	$3.17
Rate for Payer: Clover Medicare Advantage	$6.03
Rate for Payer: EmblemHealth Commercial	$19.05
Rate for Payer: Humana Medicare Advantage	$6.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.54
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.31
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.35
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.73
Rate for Payer: Wellcare Medicare Advantage	$6.35

Know your out-of-pocket cost for care.

All Charges