Heights University Hospital

All Charges

Charge

Type

Setting

Price

HEARING SCREEN

Facility

$446.94

Service Code	HCPCS 92511
Hospital Charge Code	83092020
Hospital Revenue Code	471
Min. Negotiated Rate	$58.10
Max. Negotiated Rate	$1,180.00
Rate for Payer: Aetna Commercial	$134.08
Rate for Payer: Aetna Medicare Advantage	$134.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.97
Rate for Payer: Cigna Commercial	$475.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.10
Rate for Payer: Oxford Commercial	$1,040.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.04
Rate for Payer: UnitedHealthcare Commercial	$1,180.00

HEARING SCREEN

Facility

$446.94

Service Code	HCPCS 92511
Hospital Charge Code	83090010
Hospital Revenue Code	471
Min. Negotiated Rate	$58.10
Max. Negotiated Rate	$1,180.00
Rate for Payer: Aetna Commercial	$134.08
Rate for Payer: Aetna Medicare Advantage	$134.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.97
Rate for Payer: Cigna Commercial	$475.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.10
Rate for Payer: Oxford Commercial	$1,040.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.04
Rate for Payer: UnitedHealthcare Commercial	$1,180.00

HEART AND/OR LUNG TRANSPLANT

Facility

$205,632.29

Service Code	APR-DRG 0023
Min. Negotiated Rate	$130,265.33
Max. Negotiated Rate	$205,632.29
Rate for Payer: Aetna Better Health Medicaid	$201,600.28
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$205,632.29
Rate for Payer: Wellpoint Medicaid Managed Care	$130,265.33

HEART AND/OR LUNG TRANSPLANT

Facility

$121,670.00

Service Code	APR-DRG 0021
Min. Negotiated Rate	$84,093.53
Max. Negotiated Rate	$121,670.00
Rate for Payer: Aetna Better Health Medicaid	$119,284.31
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$121,670.00
Rate for Payer: Wellpoint Medicaid Managed Care	$84,093.53

HEART AND/OR LUNG TRANSPLANT

Facility

$324,902.20

Service Code	APR-DRG 0024
Min. Negotiated Rate	$205,381.29
Max. Negotiated Rate	$324,902.20
Rate for Payer: Aetna Better Health Medicaid	$318,531.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$324,902.20
Rate for Payer: Wellpoint Medicaid Managed Care	$205,381.29

HEART AND/OR LUNG TRANSPLANT

Facility

$147,999.30

Service Code	APR-DRG 0022
Min. Negotiated Rate	$108,402.31
Max. Negotiated Rate	$147,999.30
Rate for Payer: Aetna Better Health Medicaid	$145,097.35
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$147,999.30
Rate for Payer: Wellpoint Medicaid Managed Care	$108,402.31

HEART FAILURE

Facility

$7,014.92

Service Code	APR-DRG 1941
Min. Negotiated Rate	$4,894.79
Max. Negotiated Rate	$7,014.92
Rate for Payer: Aetna Better Health Medicaid	$6,877.37
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,014.92
Rate for Payer: Wellpoint Medicaid Managed Care	$4,894.79

HEART FAILURE

Facility

$9,170.63

Service Code	APR-DRG 1942
Min. Negotiated Rate	$6,285.40
Max. Negotiated Rate	$9,170.63
Rate for Payer: Aetna Better Health Medicaid	$8,990.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,170.63
Rate for Payer: Wellpoint Medicaid Managed Care	$6,285.40

HEART FAILURE

Facility

$13,042.51

Service Code	APR-DRG 1943
Min. Negotiated Rate	$9,374.32
Max. Negotiated Rate	$13,042.51
Rate for Payer: Aetna Better Health Medicaid	$12,786.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,042.51
Rate for Payer: Wellpoint Medicaid Managed Care	$9,374.32

HEART FAILURE

Facility

$23,054.28

Service Code	APR-DRG 1944
Min. Negotiated Rate	$17,704.80
Max. Negotiated Rate	$23,054.28
Rate for Payer: Aetna Better Health Medicaid	$22,602.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,054.28
Rate for Payer: Wellpoint Medicaid Managed Care	$17,704.80

HEART FAILURE AND SHOCK WITH CC

Facility

$36,465.06

Service Code	MSDRG 292
Min. Negotiated Rate	$9,264.78
Max. Negotiated Rate	$36,465.06
Rate for Payer: Aetna Commercial	$28,628.17
Rate for Payer: Aetna Medicare Advantage	$9,264.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,707.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,707.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,155.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,707.62
Rate for Payer: Cigna Commercial	$18,271.33
Rate for Payer: Cigna Medicare Advantage	$12,155.02
Rate for Payer: Clover Medicare Advantage	$11,547.27
Rate for Payer: EmblemHealth Commercial	$36,465.06
Rate for Payer: Humana Medicare Advantage	$12,519.67
Rate for Payer: Oxford Commercial	$11,419.05
Rate for Payer: UnitedHealthcare Commercial	$12,961.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,155.02
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12,884.32
Rate for Payer: Wellcare Medicare Advantage	$12,155.02

HEART FAILURE AND SHOCK WITH MCC

Facility

$49,085.46

Service Code	MSDRG 291
Min. Negotiated Rate	$14,009.57
Max. Negotiated Rate	$49,085.46
Rate for Payer: Aetna Commercial	$43,289.57
Rate for Payer: Aetna Medicare Advantage	$14,009.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35,285.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35,285.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,361.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35,285.76
Rate for Payer: Cigna Commercial	$27,628.66
Rate for Payer: Cigna Medicare Advantage	$16,361.82
Rate for Payer: Clover Medicare Advantage	$15,543.73
Rate for Payer: EmblemHealth Commercial	$49,085.46
Rate for Payer: Humana Medicare Advantage	$16,852.67
Rate for Payer: Oxford Commercial	$17,267.11
Rate for Payer: UnitedHealthcare Commercial	$19,599.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,361.82
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17,343.53
Rate for Payer: Wellcare Medicare Advantage	$16,361.82

HEART FAILURE AND SHOCK WITHOUT CC/MCC

Facility

$28,250.79

Service Code	MSDRG 293
Min. Negotiated Rate	$6,176.52
Max. Negotiated Rate	$28,250.79
Rate for Payer: Aetna Commercial	$19,085.45
Rate for Payer: Aetna Medicare Advantage	$6,176.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,437.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,437.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9,416.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,437.52
Rate for Payer: Cigna Commercial	$12,180.89
Rate for Payer: Cigna Medicare Advantage	$9,416.93
Rate for Payer: Clover Medicare Advantage	$8,946.08
Rate for Payer: EmblemHealth Commercial	$28,250.79
Rate for Payer: Humana Medicare Advantage	$9,699.44
Rate for Payer: Oxford Commercial	$7,612.70
Rate for Payer: UnitedHealthcare Commercial	$8,641.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$9,416.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9,981.95
Rate for Payer: Wellcare Medicare Advantage	$9,416.93

HEART FLOW RESERVE ADDITI VESS

Facility

$400.00

Service Code	HCPCS 93572
Hospital Charge Code	5100817
Hospital Revenue Code	481
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

HEART FLOW RESERVE ADDITI VESS

Facility

$400.00

Service Code	HCPCS 93572
Hospital Charge Code	5100817
Hospital Revenue Code	481
Min. Negotiated Rate	$52.00
Max. Negotiated Rate	$4,350.00
Rate for Payer: Aetna Commercial	$120.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
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	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

HEART FLOW RESERVE INITI VESS

Facility

$500.00

Service Code	HCPCS 93571
Hospital Charge Code	5100816
Hospital Revenue Code	481
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$4,350.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
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	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

HEART FLOW RESERVE INITI VESS

Facility

$500.00

Service Code	HCPCS 93571
Hospital Charge Code	5100816
Hospital Revenue Code	481
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

HEART FLOW RESERVE MEASURE

Facility

$400.00

Service Code	HCPCS 93572
Hospital Charge Code	411093572
Hospital Revenue Code	481
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

HEART FLOW RESERVE MEASURE

Facility

$500.00

Service Code	HCPCS 93571
Hospital Charge Code	411093571
Hospital Revenue Code	481
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$4,350.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
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	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

HEART FLOW RESERVE MEASURE

Facility

$400.00

Service Code	HCPCS 93572
Hospital Charge Code	411093572
Hospital Revenue Code	481
Min. Negotiated Rate	$52.00
Max. Negotiated Rate	$4,350.00
Rate for Payer: Aetna Commercial	$120.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
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	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.00
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

HEART FLOW RESERVE MEASURE

Facility

$500.00

Service Code	HCPCS 93571
Hospital Charge Code	411093571
Hospital Revenue Code	481
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC

Facility

$944,962.57

Service Code	MSDRG 001
Min. Negotiated Rate	$261,324.95
Max. Negotiated Rate	$944,962.57
Rate for Payer: Aetna Commercial	$944,962.57
Rate for Payer: Aetna Medicare Advantage	$305,813.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$747,065.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$747,065.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$275,078.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$747,065.70
Rate for Payer: Cigna Medicare Advantage	$275,078.89
Rate for Payer: Clover Medicare Advantage	$261,324.95
Rate for Payer: EmblemHealth Commercial	$825,236.67
Rate for Payer: Humana Medicare Advantage	$283,331.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$275,078.89
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$291,583.62
Rate for Payer: Wellcare Medicare Advantage	$275,078.89

HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC

Facility

$382,106.96

Service Code	MSDRG 002
Min. Negotiated Rate	$107,899.76
Max. Negotiated Rate	$382,106.96
Rate for Payer: Aetna Commercial	$382,106.96
Rate for Payer: Aetna Medicare Advantage	$123,659.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337,420.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337,420.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$113,578.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337,420.08
Rate for Payer: Cigna Medicare Advantage	$113,578.70
Rate for Payer: Clover Medicare Advantage	$107,899.76
Rate for Payer: EmblemHealth Commercial	$340,736.10
Rate for Payer: Humana Medicare Advantage	$116,986.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$113,578.70
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$120,393.42
Rate for Payer: Wellcare Medicare Advantage	$113,578.70

HEAVY METAL QUAL ANY ANALYTES

Facility

$390.00

Service Code	HCPCS 83015
Hospital Charge Code	39990246
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HEAVY METAL QUAL ANY ANALYTES

Facility

$390.00

Service Code	HCPCS 83015
Hospital Charge Code	39990246
Hospital Revenue Code	301
Min. Negotiated Rate	$10.47
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$67.85
Rate for Payer: Aetna Medicare Advantage	$20.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.72
Rate for Payer: Cigna Commercial	$20.94
Rate for Payer: Cigna Medicare Advantage	$10.47
Rate for Payer: Clover Medicare Advantage	$19.89
Rate for Payer: EmblemHealth Commercial	$62.82
Rate for Payer: Humana Medicare Advantage	$21.57
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	$20.94
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22.20
Rate for Payer: Wellcare Medicare Advantage	$20.94

Know your out-of-pocket cost for care.

All Charges