Heights University Hospital

All Charges

Charge

Type

Setting

Price

EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$18,842.60

Service Code	APR-DRG 7921
Min. Negotiated Rate	$18,473.14
Max. Negotiated Rate	$18,842.60
Rate for Payer: Aetna Better Health Medicaid	$18,473.14
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,842.60

EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$23,569.76

Service Code	APR-DRG 7922
Min. Negotiated Rate	$23,107.61
Max. Negotiated Rate	$23,569.76
Rate for Payer: Aetna Better Health Medicaid	$23,107.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,569.76

EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$64,774.28

Service Code	APR-DRG 7924
Min. Negotiated Rate	$63,504.20
Max. Negotiated Rate	$64,774.28
Rate for Payer: Aetna Better Health Medicaid	$63,504.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$64,774.28

EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$34,182.62

Service Code	APR-DRG 7923
Min. Negotiated Rate	$33,512.37
Max. Negotiated Rate	$34,182.62
Rate for Payer: Aetna Better Health Medicaid	$33,512.37
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$34,182.62

EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC

Facility

$83,181.99

Service Code	MSDRG 982
Min. Negotiated Rate	$26,340.96
Max. Negotiated Rate	$83,181.99
Rate for Payer: Aetna Commercial	$82,900.34
Rate for Payer: Aetna Medicare Advantage	$26,828.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68,641.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68,641.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,727.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68,641.83
Rate for Payer: Cigna Commercial	$52,909.38
Rate for Payer: Cigna Medicare Advantage	$27,727.33
Rate for Payer: Clover Medicare Advantage	$26,340.96
Rate for Payer: EmblemHealth Commercial	$83,181.99
Rate for Payer: Humana Medicare Advantage	$28,559.15
Rate for Payer: Oxford Commercial	$33,066.82
Rate for Payer: UnitedHealthcare Commercial	$37,533.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,727.33
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$29,390.97
Rate for Payer: Wellcare Medicare Advantage	$27,727.33

EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC

Facility

$158,206.95

Service Code	MSDRG 981
Min. Negotiated Rate	$46,868.31
Max. Negotiated Rate	$158,206.95
Rate for Payer: Aetna Commercial	$158,206.95
Rate for Payer: Aetna Medicare Advantage	$51,199.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130,667.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130,667.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$49,335.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130,667.58
Rate for Payer: Cigna Commercial	$100,972.23
Rate for Payer: Cigna Medicare Advantage	$49,335.06
Rate for Payer: Clover Medicare Advantage	$46,868.31
Rate for Payer: EmblemHealth Commercial	$148,005.18
Rate for Payer: Humana Medicare Advantage	$50,815.11
Rate for Payer: Oxford Commercial	$63,104.71
Rate for Payer: UnitedHealthcare Commercial	$71,629.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$49,335.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$52,295.16
Rate for Payer: Wellcare Medicare Advantage	$49,335.06

EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC

Facility

$61,572.33

Service Code	MSDRG 983
Min. Negotiated Rate	$18,704.17
Max. Negotiated Rate	$61,572.33
Rate for Payer: Aetna Commercial	$57,795.89
Rate for Payer: Aetna Medicare Advantage	$18,704.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45,209.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45,209.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,524.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45,209.88
Rate for Payer: Cigna Commercial	$36,886.99
Rate for Payer: Cigna Medicare Advantage	$20,524.11
Rate for Payer: Clover Medicare Advantage	$19,497.90
Rate for Payer: EmblemHealth Commercial	$61,572.33
Rate for Payer: Humana Medicare Advantage	$21,139.83
Rate for Payer: Oxford Commercial	$23,053.30
Rate for Payer: UnitedHealthcare Commercial	$26,167.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,524.11
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,755.56
Rate for Payer: Wellcare Medicare Advantage	$20,524.11

EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$74,367.64

Service Code	APR-DRG 9504
Min. Negotiated Rate	$62,028.20
Max. Negotiated Rate	$74,367.64
Rate for Payer: Aetna Better Health Medicaid	$72,909.45
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$74,367.64
Rate for Payer: Wellpoint Medicaid Managed Care	$62,028.20

EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$26,964.09

Service Code	APR-DRG 9502
Min. Negotiated Rate	$20,943.81
Max. Negotiated Rate	$26,964.09
Rate for Payer: Aetna Better Health Medicaid	$26,435.38
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,964.09
Rate for Payer: Wellpoint Medicaid Managed Care	$20,943.81

EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$40,901.18

Service Code	APR-DRG 9503
Min. Negotiated Rate	$32,558.38
Max. Negotiated Rate	$40,901.18
Rate for Payer: Aetna Better Health Medicaid	$40,099.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$40,901.18
Rate for Payer: Wellpoint Medicaid Managed Care	$32,558.38

EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$20,339.65

Service Code	APR-DRG 9501
Min. Negotiated Rate	$14,263.18
Max. Negotiated Rate	$20,339.65
Rate for Payer: Aetna Better Health Medicaid	$19,940.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,339.65
Rate for Payer: Wellpoint Medicaid Managed Care	$14,263.18

EXTENSIVE PROSATE SURGERY

Facility

$36,779.00

Service Code	HCPCS 55845
Hospital Charge Code	1600000652
Hospital Revenue Code	360
Min. Negotiated Rate	$5,516.85
Max. Negotiated Rate	$5,516.85
Rate for Payer: Qualcare PPO/HMO/WC	$5,516.85

EXTENSIVE PROSATE SURGERY

Facility

$36,779.00

Service Code	HCPCS 55845
Hospital Charge Code	1600000652
Hospital Revenue Code	360
Min. Negotiated Rate	$1,313.68
Max. Negotiated Rate	$11,033.70
Rate for Payer: Aetna Commercial	$11,033.70
Rate for Payer: Aetna Medicare Advantage	$11,033.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,378.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,378.65
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	$9,378.65
Rate for Payer: Cigna Commercial	$1,313.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,781.27
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,516.85
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

EXTENSIVE REMOVAL OF LIVER

Facility

$110,145.20

Service Code	HCPCS 47122
Hospital Charge Code	1600000515
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$33,043.56
Rate for Payer: Aetna Commercial	$33,043.56
Rate for Payer: Aetna Medicare Advantage	$33,043.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,087.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,087.03
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	$28,087.03
Rate for Payer: Cigna Commercial	$3,417.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,318.88
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$16,521.78
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

EXTENSIVE REMOVAL OF LIVER

Facility

$110,145.20

Service Code	HCPCS 47122
Hospital Charge Code	1600000515
Hospital Revenue Code	360
Min. Negotiated Rate	$16,521.78
Max. Negotiated Rate	$16,521.78
Rate for Payer: Qualcare PPO/HMO/WC	$16,521.78

EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$48,600.02

Service Code	APR-DRG 8434
Min. Negotiated Rate	$26,787.87
Max. Negotiated Rate	$48,600.02
Rate for Payer: Aetna Better Health Medicaid	$26,787.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,323.63
Rate for Payer: Wellpoint Medicaid Managed Care	$48,600.02

EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$7,150.10

Service Code	APR-DRG 8431
Min. Negotiated Rate	$6,538.66
Max. Negotiated Rate	$7,150.10
Rate for Payer: Aetna Better Health Medicaid	$6,538.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,669.43
Rate for Payer: Wellpoint Medicaid Managed Care	$7,150.10

EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$18,014.67

Service Code	APR-DRG 8433
Min. Negotiated Rate	$14,030.01
Max. Negotiated Rate	$18,014.67
Rate for Payer: Aetna Better Health Medicaid	$14,030.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,310.61
Rate for Payer: Wellpoint Medicaid Managed Care	$18,014.67

EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$9,864.29

Service Code	APR-DRG 8432
Min. Negotiated Rate	$9,133.98
Max. Negotiated Rate	$9,864.29
Rate for Payer: Aetna Better Health Medicaid	$9,133.98
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,316.66
Rate for Payer: Wellpoint Medicaid Managed Care	$9,864.29

EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$47,588.49

Service Code	APR-DRG 8412
Min. Negotiated Rate	$25,371.13
Max. Negotiated Rate	$47,588.49
Rate for Payer: Aetna Better Health Medicaid	$25,371.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,878.55
Rate for Payer: Wellpoint Medicaid Managed Care	$47,588.49

EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$79,179.02

Service Code	APR-DRG 8413
Min. Negotiated Rate	$73,231.14
Max. Negotiated Rate	$79,179.02
Rate for Payer: Aetna Better Health Medicaid	$77,626.49
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$79,179.02
Rate for Payer: Wellpoint Medicaid Managed Care	$73,231.14

EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$46,780.29

Service Code	APR-DRG 8411
Min. Negotiated Rate	$22,288.36
Max. Negotiated Rate	$46,780.29
Rate for Payer: Aetna Better Health Medicaid	$22,288.36
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,734.13
Rate for Payer: Wellpoint Medicaid Managed Care	$46,780.29

EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$240,869.65

Service Code	APR-DRG 8414
Min. Negotiated Rate	$189,463.97
Max. Negotiated Rate	$240,869.65
Rate for Payer: Aetna Better Health Medicaid	$236,146.72
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$240,869.65
Rate for Payer: Wellpoint Medicaid Managed Care	$189,463.97

EXTENSOR TENDON REALIGNMENT

Facility

$12,289.60

Service Code	HCPCS 26437
Hospital Charge Code	16000620
Hospital Revenue Code	360
Min. Negotiated Rate	$1,843.44
Max. Negotiated Rate	$1,843.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,843.44

EXTENSOR TENDON REALIGNMENT

Facility

$12,289.60

Service Code	HCPCS 26437
Hospital Charge Code	16000620
Hospital Revenue Code	360
Min. Negotiated Rate	$1,597.65
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$3,686.88
Rate for Payer: Aetna Medicare Advantage	$3,686.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,133.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,133.85
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	$3,133.85
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,597.65
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,843.44
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

Know your out-of-pocket cost for care.

All Charges