Heights University Hospital

All Charges

Charge

Type

Setting

Price

AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC

Facility

$96,118.53

Service Code	MSDRG 240
Min. Negotiated Rate	$29,944.03
Max. Negotiated Rate	$96,118.53
Rate for Payer: Aetna Commercial	$96,118.53
Rate for Payer: Aetna Medicare Advantage	$31,106.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77,463.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77,463.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$31,520.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77,463.27
Rate for Payer: Cigna Commercial	$61,345.61
Rate for Payer: Cigna Medicare Advantage	$31,520.03
Rate for Payer: Clover Medicare Advantage	$29,944.03
Rate for Payer: EmblemHealth Commercial	$94,560.09
Rate for Payer: Humana Medicare Advantage	$32,465.63
Rate for Payer: Oxford Commercial	$38,339.22
Rate for Payer: UnitedHealthcare Commercial	$43,518.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$31,520.03
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$33,411.23
Rate for Payer: Wellcare Medicare Advantage	$31,520.03

AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC

Facility

$165,959.14

Service Code	MSDRG 239
Min. Negotiated Rate	$48,981.43
Max. Negotiated Rate	$165,959.14
Rate for Payer: Aetna Commercial	$165,959.14
Rate for Payer: Aetna Medicare Advantage	$53,708.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132,597.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132,597.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$51,559.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132,597.27
Rate for Payer: Cigna Commercial	$105,919.91
Rate for Payer: Cigna Medicare Advantage	$51,559.40
Rate for Payer: Clover Medicare Advantage	$48,981.43
Rate for Payer: EmblemHealth Commercial	$154,678.20
Rate for Payer: Humana Medicare Advantage	$53,106.18
Rate for Payer: Oxford Commercial	$66,196.87
Rate for Payer: UnitedHealthcare Commercial	$75,139.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$51,559.40
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$54,652.96
Rate for Payer: Wellcare Medicare Advantage	$51,559.40

AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC

Facility

$52,005.45

Service Code	MSDRG 241
Min. Negotiated Rate	$15,107.38
Max. Negotiated Rate	$52,005.45
Rate for Payer: Aetna Commercial	$46,681.80
Rate for Payer: Aetna Medicare Advantage	$15,107.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38,318.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38,318.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,335.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38,318.13
Rate for Payer: Cigna Commercial	$29,793.67
Rate for Payer: Cigna Medicare Advantage	$17,335.15
Rate for Payer: Clover Medicare Advantage	$16,468.39
Rate for Payer: EmblemHealth Commercial	$52,005.45
Rate for Payer: Humana Medicare Advantage	$17,855.20
Rate for Payer: Oxford Commercial	$18,620.18
Rate for Payer: UnitedHealthcare Commercial	$21,135.63
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,335.15
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18,375.26
Rate for Payer: Wellcare Medicare Advantage	$17,335.15

AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC

Facility

$77,876.10

Service Code	MSDRG 475
Min. Negotiated Rate	$24,660.76
Max. Negotiated Rate	$77,876.10
Rate for Payer: Aetna Commercial	$76,736.32
Rate for Payer: Aetna Medicare Advantage	$24,833.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58,993.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58,993.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25,958.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58,993.38
Rate for Payer: Cigna Commercial	$48,975.34
Rate for Payer: Cigna Medicare Advantage	$25,958.70
Rate for Payer: Clover Medicare Advantage	$24,660.76
Rate for Payer: EmblemHealth Commercial	$77,876.10
Rate for Payer: Humana Medicare Advantage	$26,737.46
Rate for Payer: Oxford Commercial	$30,608.17
Rate for Payer: UnitedHealthcare Commercial	$34,743.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$25,958.70
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$27,516.22
Rate for Payer: Wellcare Medicare Advantage	$25,958.70

AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC

Facility

$144,756.09

Service Code	MSDRG 474
Min. Negotiated Rate	$43,201.83
Max. Negotiated Rate	$144,756.09
Rate for Payer: Aetna Commercial	$144,756.09
Rate for Payer: Aetna Medicare Advantage	$46,846.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118,538.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118,538.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$45,475.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118,538.10
Rate for Payer: Cigna Commercial	$92,387.50
Rate for Payer: Cigna Medicare Advantage	$45,475.61
Rate for Payer: Clover Medicare Advantage	$43,201.83
Rate for Payer: EmblemHealth Commercial	$136,426.83
Rate for Payer: Humana Medicare Advantage	$46,839.88
Rate for Payer: Oxford Commercial	$57,739.50
Rate for Payer: UnitedHealthcare Commercial	$65,539.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$45,475.61
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$48,204.15
Rate for Payer: Wellcare Medicare Advantage	$45,475.61

AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC

Facility

$46,078.41

Service Code	MSDRG 476
Min. Negotiated Rate	$12,879.03
Max. Negotiated Rate	$46,078.41
Rate for Payer: Aetna Commercial	$39,796.20
Rate for Payer: Aetna Medicare Advantage	$12,879.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32,529.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32,529.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,359.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32,529.06
Rate for Payer: Cigna Commercial	$25,399.08
Rate for Payer: Cigna Medicare Advantage	$15,359.47
Rate for Payer: Clover Medicare Advantage	$14,591.50
Rate for Payer: EmblemHealth Commercial	$46,078.41
Rate for Payer: Humana Medicare Advantage	$15,820.25
Rate for Payer: Oxford Commercial	$15,873.69
Rate for Payer: UnitedHealthcare Commercial	$18,018.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,359.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16,281.04
Rate for Payer: Wellcare Medicare Advantage	$15,359.47

AMPUTATION MC W FING/THUMB

Facility

$26,471.80

Service Code	HCPCS 26910
Hospital Charge Code	16000861
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,941.54
Rate for Payer: Aetna Commercial	$7,941.54
Rate for Payer: Aetna Medicare Advantage	$7,941.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,750.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,750.31
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	$6,750.31
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,441.33
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,970.77
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

AMPUTATION MC W FING/THUMB

Facility

$26,471.80

Service Code	HCPCS 26910
Hospital Charge Code	16000861
Hospital Revenue Code	360
Min. Negotiated Rate	$3,970.77
Max. Negotiated Rate	$3,970.77
Rate for Payer: Qualcare PPO/HMO/WC	$3,970.77

AMPUTATION MID FOOT

Facility

$15,871.38

Service Code	HCPCS 28800
Hospital Charge Code	1600000456
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$4,761.41
Rate for Payer: Aetna Medicare Advantage	$4,761.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,047.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,047.20
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	$4,047.20
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,063.28
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,380.71
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

AMPUTATION MID FOOT

Facility

$15,871.38

Service Code	HCPCS 28800
Hospital Charge Code	1600000456
Hospital Revenue Code	360
Min. Negotiated Rate	$2,380.71
Max. Negotiated Rate	$2,380.71
Rate for Payer: Qualcare PPO/HMO/WC	$2,380.71

AMPUTATION OF FINGER/THUMB

Facility

$17,164.20

Service Code	HCPCS 26952
Hospital Charge Code	1600000869
Hospital Revenue Code	360
Min. Negotiated Rate	$2,574.63
Max. Negotiated Rate	$2,574.63
Rate for Payer: Qualcare PPO/HMO/WC	$2,574.63

AMPUTATION OF FINGER/THUMB

Facility

$17,164.20

Service Code	HCPCS 26952
Hospital Charge Code	1600000869
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$5,149.26
Rate for Payer: Aetna Medicare Advantage	$5,149.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,376.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,376.87
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	$4,376.87
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,231.35
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,574.63
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$28,514.57

Service Code	APR-DRG 3053
Min. Negotiated Rate	$22,387.90
Max. Negotiated Rate	$28,514.57
Rate for Payer: Aetna Better Health Medicaid	$27,955.46
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,514.57
Rate for Payer: Wellpoint Medicaid Managed Care	$22,387.90

AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$51,084.40

Service Code	APR-DRG 3054
Min. Negotiated Rate	$47,352.61
Max. Negotiated Rate	$51,084.40
Rate for Payer: Aetna Better Health Medicaid	$50,082.75
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$51,084.40
Rate for Payer: Wellpoint Medicaid Managed Care	$47,352.61

AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$19,030.78

Service Code	APR-DRG 3052
Min. Negotiated Rate	$13,681.24
Max. Negotiated Rate	$19,030.78
Rate for Payer: Aetna Better Health Medicaid	$18,657.63
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,030.78
Rate for Payer: Wellpoint Medicaid Managed Care	$13,681.24

AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$14,300.78

Service Code	APR-DRG 3051
Min. Negotiated Rate	$9,992.61
Max. Negotiated Rate	$14,300.78
Rate for Payer: Aetna Better Health Medicaid	$14,020.37
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,300.78
Rate for Payer: Wellpoint Medicaid Managed Care	$9,992.61

AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC

Facility

$66,109.05

Service Code	MSDRG 617
Min. Negotiated Rate	$20,409.80
Max. Negotiated Rate	$66,109.05
Rate for Payer: Aetna Commercial	$63,066.28
Rate for Payer: Aetna Medicare Advantage	$20,409.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54,582.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54,582.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,036.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54,582.66
Rate for Payer: Cigna Commercial	$40,250.73
Rate for Payer: Cigna Medicare Advantage	$22,036.35
Rate for Payer: Clover Medicare Advantage	$20,934.53
Rate for Payer: EmblemHealth Commercial	$66,109.05
Rate for Payer: Humana Medicare Advantage	$22,697.44
Rate for Payer: Oxford Commercial	$25,155.53
Rate for Payer: UnitedHealthcare Commercial	$28,553.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,036.35
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23,358.53
Rate for Payer: Wellcare Medicare Advantage	$22,036.35

AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC

Facility

$117,594.71

Service Code	MSDRG 616
Min. Negotiated Rate	$35,798.09
Max. Negotiated Rate	$117,594.71
Rate for Payer: Aetna Commercial	$117,594.71
Rate for Payer: Aetna Medicare Advantage	$38,056.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109,165.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109,165.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37,682.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109,165.32
Rate for Payer: Cigna Commercial	$75,052.34
Rate for Payer: Cigna Medicare Advantage	$37,682.20
Rate for Payer: Clover Medicare Advantage	$35,798.09
Rate for Payer: EmblemHealth Commercial	$113,046.60
Rate for Payer: Humana Medicare Advantage	$38,812.67
Rate for Payer: Oxford Commercial	$46,905.53
Rate for Payer: UnitedHealthcare Commercial	$53,242.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$37,682.20
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$39,943.13
Rate for Payer: Wellcare Medicare Advantage	$37,682.20

AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC

Facility

$52,989.42

Service Code	MSDRG 618
Min. Negotiated Rate	$15,477.32
Max. Negotiated Rate	$52,989.42
Rate for Payer: Aetna Commercial	$47,824.92
Rate for Payer: Aetna Medicare Advantage	$15,477.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,977.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,977.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,663.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,977.72
Rate for Payer: Cigna Commercial	$30,523.23
Rate for Payer: Cigna Medicare Advantage	$17,663.14
Rate for Payer: Clover Medicare Advantage	$16,779.98
Rate for Payer: EmblemHealth Commercial	$52,989.42
Rate for Payer: Humana Medicare Advantage	$18,193.03
Rate for Payer: Oxford Commercial	$19,076.13
Rate for Payer: UnitedHealthcare Commercial	$21,653.19
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,663.14
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18,722.93
Rate for Payer: Wellcare Medicare Advantage	$17,663.14

AMPUTATION OF THE LOWER LEG

Facility

$12,406.91

Service Code	HCPCS 27882
Hospital Charge Code	160000210
Hospital Revenue Code	360
Min. Negotiated Rate	$1,861.04
Max. Negotiated Rate	$1,861.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,861.04

AMPUTATION OF THE LOWER LEG

Facility

$12,406.91

Service Code	HCPCS 27882
Hospital Charge Code	160000210
Hospital Revenue Code	360
Min. Negotiated Rate	$1,612.90
Max. Negotiated Rate	$9,851.00
Rate for Payer: Aetna Commercial	$3,722.07
Rate for Payer: Aetna Medicare Advantage	$3,722.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,163.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,163.76
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	$3,163.76
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,612.90
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,861.04
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

AMPUTATION,TOE & METATARSAL

Facility

$19,998.60

Service Code	HCPCS 28810
Hospital Charge Code	16000352
Hospital Revenue Code	360
Min. Negotiated Rate	$2,999.79
Max. Negotiated Rate	$2,999.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79

AMPUTATION,TOE & METATARSAL

Facility

$19,998.60

Service Code	HCPCS 28810
Hospital Charge Code	16000352
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,791.93
Rate for Payer: Aetna Commercial	$5,999.58
Rate for Payer: Aetna Medicare Advantage	$5,999.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,099.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,099.64
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	$5,099.64
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,599.82
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

AMRINONE INJ 100MG/20ML

Facility

$523.55

Hospital Charge Code	60627546
Hospital Revenue Code	250
Min. Negotiated Rate	$68.06
Max. Negotiated Rate	$261.77
Rate for Payer: Aetna Commercial	$157.06
Rate for Payer: Aetna Medicare Advantage	$157.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.51
Rate for Payer: Cigna Commercial	$261.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.06
Rate for Payer: Oxford Commercial	$261.77
Rate for Payer: Qualcare PPO/HMO/WC	$78.53
Rate for Payer: UnitedHealthcare Commercial	$261.77

AMRINONE INJ 100MG/20ML

Facility

$523.55

Hospital Charge Code	60627546
Hospital Revenue Code	250
Min. Negotiated Rate	$78.53
Max. Negotiated Rate	$78.53
Rate for Payer: Qualcare PPO/HMO/WC	$78.53

Know your out-of-pocket cost for care.

All Charges