Heights University Hospital

All Charges

Charge

Type

Setting

Price

HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$10,989.29

Service Code	APR-DRG 8902
Min. Negotiated Rate	$10,356.26
Max. Negotiated Rate	$10,989.29
Rate for Payer: Aetna Better Health Medicaid	$10,773.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,989.29
Rate for Payer: Wellpoint Medicaid Managed Care	$10,356.26

HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$17,643.22

Service Code	APR-DRG 8903
Min. Negotiated Rate	$16,470.76
Max. Negotiated Rate	$17,643.22
Rate for Payer: Aetna Better Health Medicaid	$17,297.27
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,643.22
Rate for Payer: Wellpoint Medicaid Managed Care	$16,470.76

HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$10,438.73

Service Code	APR-DRG 8901
Min. Negotiated Rate	$8,892.27
Max. Negotiated Rate	$10,438.73
Rate for Payer: Aetna Better Health Medicaid	$10,234.05
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,438.73
Rate for Payer: Wellpoint Medicaid Managed Care	$8,892.27

HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$11,157.81

Service Code	APR-DRG 8932
Min. Negotiated Rate	$9,369.84
Max. Negotiated Rate	$11,157.81
Rate for Payer: Aetna Better Health Medicaid	$10,939.03
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,157.81
Rate for Payer: Wellpoint Medicaid Managed Care	$9,369.84

HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$28,680.44

Service Code	APR-DRG 8934
Min. Negotiated Rate	$21,762.37
Max. Negotiated Rate	$28,680.44
Rate for Payer: Aetna Better Health Medicaid	$21,762.37
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,197.62
Rate for Payer: Wellpoint Medicaid Managed Care	$28,680.44

HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$10,319.42

Service Code	APR-DRG 8931
Min. Negotiated Rate	$8,240.64
Max. Negotiated Rate	$10,319.42
Rate for Payer: Aetna Better Health Medicaid	$10,117.08
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,319.42
Rate for Payer: Wellpoint Medicaid Managed Care	$8,240.64

HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$15,516.98

Service Code	APR-DRG 8933
Min. Negotiated Rate	$14,292.82
Max. Negotiated Rate	$15,516.98
Rate for Payer: Aetna Better Health Medicaid	$15,212.73
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,516.98
Rate for Payer: Wellpoint Medicaid Managed Care	$14,292.82

HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$7,736.76

Service Code	APR-DRG 8941
Min. Negotiated Rate	$6,350.80
Max. Negotiated Rate	$7,736.76
Rate for Payer: Aetna Better Health Medicaid	$7,585.06
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,736.76
Rate for Payer: Wellpoint Medicaid Managed Care	$6,350.80

HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$13,573.33

Service Code	APR-DRG 8943
Min. Negotiated Rate	$10,911.46
Max. Negotiated Rate	$13,573.33
Rate for Payer: Aetna Better Health Medicaid	$13,307.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,573.33
Rate for Payer: Wellpoint Medicaid Managed Care	$10,911.46

HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$9,603.18

Service Code	APR-DRG 8942
Min. Negotiated Rate	$7,634.39
Max. Negotiated Rate	$9,603.18
Rate for Payer: Aetna Better Health Medicaid	$9,414.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,603.18
Rate for Payer: Wellpoint Medicaid Managed Care	$7,634.39

HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$20,852.28

Service Code	APR-DRG 8944
Min. Negotiated Rate	$15,625.84
Max. Negotiated Rate	$20,852.28
Rate for Payer: Aetna Better Health Medicaid	$20,443.41
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,852.28
Rate for Payer: Wellpoint Medicaid Managed Care	$15,625.84

HIV WITH OR WITHOUT OTHER RELATED CONDITION

Facility

$49,488.93

Service Code	MSDRG 977
Min. Negotiated Rate	$14,161.26
Max. Negotiated Rate	$49,488.93
Rate for Payer: Aetna Commercial	$43,758.29
Rate for Payer: Aetna Medicare Advantage	$14,161.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39,145.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39,145.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,496.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39,145.14
Rate for Payer: Cigna Commercial	$27,280.02
Rate for Payer: Cigna Medicare Advantage	$16,496.31
Rate for Payer: Clover Medicare Advantage	$15,671.49
Rate for Payer: EmblemHealth Commercial	$49,488.93
Rate for Payer: Humana Medicare Advantage	$16,991.20
Rate for Payer: Oxford Commercial	$17,049.22
Rate for Payer: UnitedHealthcare Commercial	$19,352.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,496.31
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17,486.09
Rate for Payer: Wellcare Medicare Advantage	$16,496.31

HLA A,B,C

Facility

$200.00

Service Code	HCPCS 81372
Hospital Charge Code	3038134
Hospital Revenue Code	310
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$1,478.75
Rate for Payer: Aetna Commercial	$1,307.63
Rate for Payer: Aetna Medicare Advantage	$403.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,478.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,478.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$403.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,478.75
Rate for Payer: Cigna Commercial	$403.59
Rate for Payer: Cigna Medicare Advantage	$201.79
Rate for Payer: Clover Medicare Advantage	$383.41
Rate for Payer: EmblemHealth Commercial	$1,210.77
Rate for Payer: Humana Medicare Advantage	$415.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$403.59
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$427.81
Rate for Payer: Wellcare Medicare Advantage	$403.59

HLA A,B,C

Facility

$200.00

Service Code	HCPCS 81372
Hospital Charge Code	3038134
Hospital Revenue Code	310
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

HLA A,B,C TYPING

Facility

$410.69

Service Code	HCPCS 86813
Hospital Charge Code	38476274
Hospital Revenue Code	302
Min. Negotiated Rate	$61.60
Max. Negotiated Rate	$61.60
Rate for Payer: Qualcare PPO/HMO/WC	$61.60

HLA A,B,C TYPING

Facility

$410.69

Service Code	HCPCS 86813
Hospital Charge Code	38476274
Hospital Revenue Code	302
Min. Negotiated Rate	$29.00
Max. Negotiated Rate	$212.51
Rate for Payer: Aetna Commercial	$187.92
Rate for Payer: Aetna Medicare Advantage	$58.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$58.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.51
Rate for Payer: Cigna Commercial	$58.00
Rate for Payer: Cigna Medicare Advantage	$29.00
Rate for Payer: Clover Medicare Advantage	$55.10
Rate for Payer: EmblemHealth Commercial	$174.00
Rate for Payer: Humana Medicare Advantage	$59.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.39
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$61.60
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$58.00
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$61.48
Rate for Payer: Wellcare Medicare Advantage	$58.00

HLA-A,B,C TYPING

Facility

$1,149.65

Service Code	HCPCS 86813
Hospital Charge Code	3009834
Hospital Revenue Code	302
Min. Negotiated Rate	$29.00
Max. Negotiated Rate	$212.51
Rate for Payer: Aetna Commercial	$187.92
Rate for Payer: Aetna Medicare Advantage	$58.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$58.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212.51
Rate for Payer: Cigna Commercial	$58.00
Rate for Payer: Cigna Medicare Advantage	$29.00
Rate for Payer: Clover Medicare Advantage	$55.10
Rate for Payer: EmblemHealth Commercial	$174.00
Rate for Payer: Humana Medicare Advantage	$59.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.45
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$172.45
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$58.00
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$61.48
Rate for Payer: Wellcare Medicare Advantage	$58.00

HLA-A,B,C TYPING

Facility

$1,149.65

Service Code	HCPCS 86813
Hospital Charge Code	3009834
Hospital Revenue Code	302
Min. Negotiated Rate	$172.45
Max. Negotiated Rate	$172.45
Rate for Payer: Qualcare PPO/HMO/WC	$172.45

HLA B27

Facility

$235.25

Service Code	HCPCS 81374
Hospital Charge Code	3007515
Hospital Revenue Code	310
Min. Negotiated Rate	$30.58
Max. Negotiated Rate	$272.35
Rate for Payer: Aetna Commercial	$240.83
Rate for Payer: Aetna Medicare Advantage	$74.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$74.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.35
Rate for Payer: Cigna Commercial	$74.33
Rate for Payer: Cigna Medicare Advantage	$37.16
Rate for Payer: Clover Medicare Advantage	$70.61
Rate for Payer: EmblemHealth Commercial	$222.99
Rate for Payer: Humana Medicare Advantage	$76.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.58
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.29
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$74.33
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$78.79
Rate for Payer: Wellcare Medicare Advantage	$74.33

HLA B27

Facility

$235.25

Service Code	HCPCS 81374
Hospital Charge Code	3007515
Hospital Revenue Code	310
Min. Negotiated Rate	$35.29
Max. Negotiated Rate	$35.29
Rate for Payer: Qualcare PPO/HMO/WC	$35.29

HLA-B27

Facility

$390.00

Service Code	HCPCS 86812
Hospital Charge Code	39900262
Hospital Revenue Code	302
Min. Negotiated Rate	$12.90
Max. Negotiated Rate	$114.00
Rate for Payer: Cigna Commercial	$25.81
Rate for Payer: Cigna Medicare Advantage	$12.90
Rate for Payer: Aetna Commercial	$83.62
Rate for Payer: Aetna Medicare Advantage	$25.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.57
Rate for Payer: Clover Medicare Advantage	$24.52
Rate for Payer: EmblemHealth Commercial	$77.43
Rate for Payer: Humana Medicare Advantage	$26.58
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	$25.81
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$27.36
Rate for Payer: Wellcare Medicare Advantage	$25.81

HLA-B27

Facility

$390.00

Service Code	HCPCS 86812
Hospital Charge Code	39900262
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HLA-B27 DNA TYPING

Facility

$843.35

Service Code	HCPCS 81374
Hospital Charge Code	39900023
Hospital Revenue Code	310
Min. Negotiated Rate	$37.16
Max. Negotiated Rate	$272.35
Rate for Payer: Aetna Commercial	$240.83
Rate for Payer: Aetna Medicare Advantage	$74.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$74.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.35
Rate for Payer: Cigna Commercial	$74.33
Rate for Payer: Cigna Medicare Advantage	$37.16
Rate for Payer: Clover Medicare Advantage	$70.61
Rate for Payer: EmblemHealth Commercial	$222.99
Rate for Payer: Humana Medicare Advantage	$76.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.64
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$74.33
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$78.79
Rate for Payer: Wellcare Medicare Advantage	$74.33

HLA-B27 DNA TYPING

Facility

$843.35

Service Code	HCPCS 81374
Hospital Charge Code	39900023
Hospital Revenue Code	310
Min. Negotiated Rate	$126.50
Max. Negotiated Rate	$126.50
Rate for Payer: Qualcare PPO/HMO/WC	$126.50

HLA-B5701 TYPING

Facility

$424.85

Service Code	HCPCS 81381
Hospital Charge Code	39900321
Hospital Revenue Code	310
Min. Negotiated Rate	$63.73
Max. Negotiated Rate	$63.73
Rate for Payer: Qualcare PPO/HMO/WC	$63.73

Know your out-of-pocket cost for care.

All Charges