Heights University Hospital

All Charges

Charge

Type

Setting

Price

DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$30,377.42

Service Code	APR-DRG 0424
Min. Negotiated Rate	$27,810.87
Max. Negotiated Rate	$30,377.42
Rate for Payer: Aetna Better Health Medicaid	$27,810.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,367.09
Rate for Payer: Wellpoint Medicaid Managed Care	$30,377.42

DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC

Facility

$79,251.93

Service Code	MSDRG 056
Min. Negotiated Rate	$25,096.44
Max. Negotiated Rate	$79,251.93
Rate for Payer: Aetna Commercial	$78,334.65
Rate for Payer: Aetna Medicare Advantage	$25,351.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65,885.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65,885.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26,417.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65,885.13
Rate for Payer: Cigna Medicare Advantage	$26,417.31
Rate for Payer: Clover Medicare Advantage	$25,096.44
Rate for Payer: EmblemHealth Commercial	$79,251.93
Rate for Payer: Humana Medicare Advantage	$27,209.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$26,417.31
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$28,002.35
Rate for Payer: Wellcare Medicare Advantage	$26,417.31

DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC

Facility

$49,427.97

Service Code	MSDRG 057
Min. Negotiated Rate	$14,138.34
Max. Negotiated Rate	$49,427.97
Rate for Payer: Aetna Commercial	$43,687.47
Rate for Payer: Aetna Medicare Advantage	$14,138.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,491.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,491.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,475.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,491.12
Rate for Payer: Cigna Medicare Advantage	$16,475.99
Rate for Payer: Clover Medicare Advantage	$15,652.19
Rate for Payer: EmblemHealth Commercial	$49,427.97
Rate for Payer: Humana Medicare Advantage	$16,970.27
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,475.99
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17,464.55
Rate for Payer: Wellcare Medicare Advantage	$16,475.99

DEHYDROEPIANDROSTERONE

Facility

$390.00

Service Code	HCPCS 82626
Hospital Charge Code	401182626
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

DEHYDROEPIANDROSTERONE

Facility

$390.00

Service Code	HCPCS 82626
Hospital Charge Code	401182626
Hospital Revenue Code	301
Min. Negotiated Rate	$12.63
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$81.87
Rate for Payer: Aetna Medicare Advantage	$25.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.59
Rate for Payer: Cigna Commercial	$25.27
Rate for Payer: Cigna Medicare Advantage	$12.63
Rate for Payer: Clover Medicare Advantage	$24.01
Rate for Payer: EmblemHealth Commercial	$75.81
Rate for Payer: Humana Medicare Advantage	$26.03
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	$25.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$26.79
Rate for Payer: Wellcare Medicare Advantage	$25.27

DEHYDROEPIANDROSTERONE (DHEA)

Facility

$880.00

Service Code	HCPCS 82626
Hospital Charge Code	38472248
Hospital Revenue Code	301
Min. Negotiated Rate	$132.00
Max. Negotiated Rate	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.00

DEHYDROEPIANDROSTERONE (DHEA)

Facility

$880.00

Service Code	HCPCS 82626
Hospital Charge Code	38472248
Hospital Revenue Code	301
Min. Negotiated Rate	$12.63
Max. Negotiated Rate	$132.00
Rate for Payer: Aetna Commercial	$81.87
Rate for Payer: Aetna Medicare Advantage	$25.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.59
Rate for Payer: Cigna Commercial	$25.27
Rate for Payer: Cigna Medicare Advantage	$12.63
Rate for Payer: Clover Medicare Advantage	$24.01
Rate for Payer: EmblemHealth Commercial	$75.81
Rate for Payer: Humana Medicare Advantage	$26.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$26.79
Rate for Payer: Wellcare Medicare Advantage	$25.27

DEHYDROEPIANDROSTERONE SULFATE

Facility

$880.00

Service Code	HCPCS 82627
Hospital Charge Code	38472251
Hospital Revenue Code	301
Min. Negotiated Rate	$11.12
Max. Negotiated Rate	$132.00
Rate for Payer: Aetna Commercial	$72.03
Rate for Payer: Aetna Medicare Advantage	$22.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.45
Rate for Payer: Cigna Commercial	$22.23
Rate for Payer: Cigna Medicare Advantage	$11.12
Rate for Payer: Clover Medicare Advantage	$21.12
Rate for Payer: EmblemHealth Commercial	$66.69
Rate for Payer: Humana Medicare Advantage	$22.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$22.23
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23.56
Rate for Payer: Wellcare Medicare Advantage	$22.23

DEHYDROEPIANDROSTERONE SULFATE

Facility

$880.00

Service Code	HCPCS 82627
Hospital Charge Code	38472251
Hospital Revenue Code	301
Min. Negotiated Rate	$132.00
Max. Negotiated Rate	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.00

DEKOMPRESSOR KIT 0407-250-000

Facility

$10,280.00

Hospital Charge Code	270643646
Hospital Revenue Code	272
Min. Negotiated Rate	$1,542.00
Max. Negotiated Rate	$1,542.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,542.00

DEKOMPRESSOR KIT 0407-250-000

Facility

$10,280.00

Hospital Charge Code	270643646
Hospital Revenue Code	272
Min. Negotiated Rate	$1,336.40
Max. Negotiated Rate	$5,140.00
Rate for Payer: Aetna Commercial	$3,084.00
Rate for Payer: Aetna Medicare Advantage	$3,084.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,621.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,621.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,621.40
Rate for Payer: Cigna Commercial	$5,140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,336.40
Rate for Payer: Oxford Commercial	$5,140.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,542.00
Rate for Payer: UnitedHealthcare Commercial	$5,140.00

DEL ACCUCHECK (EACH TIME)

Facility

$56.00

Service Code	HCPCS 82948
Hospital Charge Code	73190083
Hospital Revenue Code	301
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$16.33
Rate for Payer: Aetna Medicare Advantage	$5.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.47
Rate for Payer: Cigna Commercial	$5.04
Rate for Payer: Cigna Medicare Advantage	$2.52
Rate for Payer: Clover Medicare Advantage	$4.79
Rate for Payer: EmblemHealth Commercial	$15.12
Rate for Payer: Humana Medicare Advantage	$5.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.40
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.04
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.34
Rate for Payer: Wellcare Medicare Advantage	$5.04

DEL ACCUCHECK (EACH TIME)

Facility

$56.00

Service Code	HCPCS 82948
Hospital Charge Code	73190083
Hospital Revenue Code	301
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$8.40
Rate for Payer: Qualcare PPO/HMO/WC	$8.40

DEL AMNIOCENTESIS

Facility

$1,480.00

Service Code	HCPCS 59000
Hospital Charge Code	73190015
Hospital Revenue Code	720
Min. Negotiated Rate	$222.00
Max. Negotiated Rate	$222.00
Rate for Payer: Qualcare PPO/HMO/WC	$222.00

DEL AMNIOCENTESIS

Facility

$1,480.00

Service Code	HCPCS 59000
Hospital Charge Code	73190015
Hospital Revenue Code	720
Min. Negotiated Rate	$84.43
Max. Negotiated Rate	$2,979.00
Rate for Payer: Aetna Commercial	$444.00
Rate for Payer: Aetna Medicare Advantage	$444.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$377.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$377.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$377.40
Rate for Payer: Cigna Commercial	$2,193.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.40
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$222.00
Rate for Payer: UnitedHealthcare Commercial	$2,979.00

DEL AMNIOINFUSION

Facility

$3,138.00

Service Code	HCPCS 59070
Hospital Charge Code	73190005
Hospital Revenue Code	361
Min. Negotiated Rate	$407.94
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$941.40
Rate for Payer: Aetna Medicare Advantage	$941.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$800.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$800.19
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	$800.19
Rate for Payer: Cigna Commercial	$725.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$407.94
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$470.70
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

DEL AMNIOINFUSION

Facility

$3,138.00

Service Code	HCPCS 59070
Hospital Charge Code	73190005
Hospital Revenue Code	361
Min. Negotiated Rate	$470.70
Max. Negotiated Rate	$470.70
Rate for Payer: Qualcare PPO/HMO/WC	$470.70

DEL ANE IV CON SEDT >5 1ST 30M

Facility

$1,937.60

Hospital Charge Code	73190123
Hospital Revenue Code	370
Min. Negotiated Rate	$290.64
Max. Negotiated Rate	$290.64
Rate for Payer: Qualcare PPO/HMO/WC	$290.64

DEL ANE IV CON SEDT >5 1ST 30M

Facility

$1,937.60

Hospital Charge Code	73190123
Hospital Revenue Code	370
Min. Negotiated Rate	$251.89
Max. Negotiated Rate	$968.80
Rate for Payer: Aetna Commercial	$581.28
Rate for Payer: Aetna Medicare Advantage	$581.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$494.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$494.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$494.09
Rate for Payer: Cigna Commercial	$968.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$251.89
Rate for Payer: Oxford Commercial	$968.80
Rate for Payer: Qualcare PPO/HMO/WC	$290.64
Rate for Payer: UnitedHealthcare Commercial	$968.80

DEL ANESTHESIA EPIDURAL

Facility

$2,433.20

Hospital Charge Code	73190131
Hospital Revenue Code	370
Min. Negotiated Rate	$364.98
Max. Negotiated Rate	$364.98
Rate for Payer: Qualcare PPO/HMO/WC	$364.98

DEL ANESTHESIA EPIDURAL

Facility

$2,433.20

Hospital Charge Code	73190131
Hospital Revenue Code	370
Min. Negotiated Rate	$316.32
Max. Negotiated Rate	$1,216.60
Rate for Payer: Aetna Commercial	$729.96
Rate for Payer: Aetna Medicare Advantage	$729.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$620.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$620.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$620.47
Rate for Payer: Cigna Commercial	$1,216.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.32
Rate for Payer: Oxford Commercial	$1,216.60
Rate for Payer: Qualcare PPO/HMO/WC	$364.98
Rate for Payer: UnitedHealthcare Commercial	$1,216.60

DEL ANESTHESIA GENERAL

Facility

$3,172.40

Hospital Charge Code	73190121
Hospital Revenue Code	370
Min. Negotiated Rate	$412.41
Max. Negotiated Rate	$1,586.20
Rate for Payer: Aetna Commercial	$951.72
Rate for Payer: Aetna Medicare Advantage	$951.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$808.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$808.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$808.96
Rate for Payer: Cigna Commercial	$1,586.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$412.41
Rate for Payer: Oxford Commercial	$1,586.20
Rate for Payer: Qualcare PPO/HMO/WC	$475.86
Rate for Payer: UnitedHealthcare Commercial	$1,586.20

DEL ANESTHESIA GENERAL

Facility

$3,172.40

Hospital Charge Code	73190121
Hospital Revenue Code	370
Min. Negotiated Rate	$475.86
Max. Negotiated Rate	$475.86
Rate for Payer: Qualcare PPO/HMO/WC	$475.86

DEL ANESTHESIA LOCAL

Facility

$329.00

Hospital Charge Code	73190127
Hospital Revenue Code	370
Min. Negotiated Rate	$42.77
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$98.70
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.77
Rate for Payer: Oxford Commercial	$164.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$164.50

DEL ANESTHESIA LOCAL

Facility

$329.00

Hospital Charge Code	73190127
Hospital Revenue Code	370
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

Know your out-of-pocket cost for care.

All Charges