Heights University Hospital

All Charges

Charge

Type

Setting

Price

HYPERHEP/5ML

Facility

$1,095.00

Hospital Charge Code	60633139
Hospital Revenue Code	250
Min. Negotiated Rate	$142.35
Max. Negotiated Rate	$547.50
Rate for Payer: Aetna Commercial	$328.50
Rate for Payer: Aetna Medicare Advantage	$328.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$279.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$279.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$279.23
Rate for Payer: Cigna Commercial	$547.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.35
Rate for Payer: Oxford Commercial	$547.50
Rate for Payer: Qualcare PPO/HMO/WC	$164.25
Rate for Payer: UnitedHealthcare Commercial	$547.50

HYPERSTAT IV INJ/300MG

Facility

$404.00

Hospital Charge Code	60634260
Hospital Revenue Code	250
Min. Negotiated Rate	$52.52
Max. Negotiated Rate	$202.00
Rate for Payer: Aetna Commercial	$121.20
Rate for Payer: Aetna Medicare Advantage	$121.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.02
Rate for Payer: Cigna Commercial	$202.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.52
Rate for Payer: Oxford Commercial	$202.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.60
Rate for Payer: UnitedHealthcare Commercial	$202.00

HYPERSTAT IV INJ/300MG

Facility

$404.00

Hospital Charge Code	60634260
Hospital Revenue Code	250
Min. Negotiated Rate	$60.60
Max. Negotiated Rate	$60.60
Rate for Payer: Qualcare PPO/HMO/WC	$60.60

HYPERTENSION

Facility

$20,415.50

Service Code	APR-DRG 1994
Min. Negotiated Rate	$17,399.16
Max. Negotiated Rate	$20,415.50
Rate for Payer: Aetna Better Health Medicaid	$20,015.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,415.50
Rate for Payer: Wellpoint Medicaid Managed Care	$17,399.16

HYPERTENSION

Facility

$8,426.29

Service Code	APR-DRG 1992
Min. Negotiated Rate	$5,444.17
Max. Negotiated Rate	$8,426.29
Rate for Payer: Aetna Better Health Medicaid	$8,261.07
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,426.29
Rate for Payer: Wellpoint Medicaid Managed Care	$5,444.17

HYPERTENSION

Facility

$11,663.38

Service Code	APR-DRG 1993
Min. Negotiated Rate	$7,632.15
Max. Negotiated Rate	$11,663.38
Rate for Payer: Aetna Better Health Medicaid	$11,434.69
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,663.38
Rate for Payer: Wellpoint Medicaid Managed Care	$7,632.15

HYPERTENSION

Facility

$6,905.36

Service Code	APR-DRG 1991
Min. Negotiated Rate	$4,636.04
Max. Negotiated Rate	$6,905.36
Rate for Payer: Aetna Better Health Medicaid	$6,769.96
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,905.36
Rate for Payer: Wellpoint Medicaid Managed Care	$4,636.04

HYPERTENSION WITH MCC

Facility

$46,362.84

Service Code	MSDRG 304
Min. Negotiated Rate	$12,985.97
Max. Negotiated Rate	$46,362.84
Rate for Payer: Aetna Commercial	$40,126.65
Rate for Payer: Aetna Medicare Advantage	$12,985.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,702.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,702.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,454.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,702.05
Rate for Payer: Cigna Commercial	$25,609.99
Rate for Payer: Cigna Medicare Advantage	$15,454.28
Rate for Payer: Clover Medicare Advantage	$14,681.57
Rate for Payer: EmblemHealth Commercial	$46,362.84
Rate for Payer: Humana Medicare Advantage	$15,917.91
Rate for Payer: Oxford Commercial	$16,005.50
Rate for Payer: UnitedHealthcare Commercial	$18,167.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,454.28
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16,381.54
Rate for Payer: Wellcare Medicare Advantage	$15,454.28

HYPERTENSION WITHOUT MCC

Facility

$33,739.56

Service Code	MSDRG 305
Min. Negotiated Rate	$8,240.09
Max. Negotiated Rate	$33,739.56
Rate for Payer: Aetna Commercial	$25,461.88
Rate for Payer: Aetna Medicare Advantage	$8,240.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,675.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,675.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,246.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,675.25
Rate for Payer: Cigna Commercial	$16,250.51
Rate for Payer: Cigna Medicare Advantage	$11,246.52
Rate for Payer: Clover Medicare Advantage	$10,684.19
Rate for Payer: EmblemHealth Commercial	$33,739.56
Rate for Payer: Humana Medicare Advantage	$11,583.92
Rate for Payer: Oxford Commercial	$10,156.09
Rate for Payer: UnitedHealthcare Commercial	$11,528.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,246.52
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,921.31
Rate for Payer: Wellcare Medicare Advantage	$11,246.52

HYPERTENSIVE ENCEPHALOPATHY WITH CC

Facility

$28,118.34

Service Code	MSDRG 078
Min. Negotiated Rate	$28,118.34
Max. Negotiated Rate	$28,118.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,118.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,118.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,118.34

HYPERTENSIVE ENCEPHALOPATHY WITH MCC

Facility

$41,626.17

Service Code	MSDRG 077
Min. Negotiated Rate	$41,626.17
Max. Negotiated Rate	$41,626.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,626.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,626.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,626.17

HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC

Facility

$20,399.58

Service Code	MSDRG 079
Min. Negotiated Rate	$20,399.58
Max. Negotiated Rate	$20,399.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,399.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,399.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,399.58

HYPNOTHERAPY

Facility

$6,800.00

Service Code	HCPCS 90880
Hospital Charge Code	94810155
Hospital Revenue Code	900
Min. Negotiated Rate	$58.22
Max. Negotiated Rate	$2,040.00
Rate for Payer: Aetna Commercial	$2,040.00
Rate for Payer: Aetna Medicare Advantage	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,734.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,734.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$58.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,734.00
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$884.00
Rate for Payer: Oxford Commercial	$1,757.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,020.00
Rate for Payer: UnitedHealthcare Commercial	$1,994.00

HYPNOTHERAPY

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4546775
Hospital Revenue Code	914
Min. Negotiated Rate	$58.22
Max. Negotiated Rate	$241.93
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$58.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

HYPNOTHERAPY

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4546775
Hospital Revenue Code	914
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

HYPNOTHERAPY

Facility

$6,800.00

Service Code	HCPCS 90880
Hospital Charge Code	94810155
Hospital Revenue Code	900
Min. Negotiated Rate	$1,020.00
Max. Negotiated Rate	$1,020.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,020.00

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4509522
Hospital Revenue Code	914
Min. Negotiated Rate	$58.22
Max. Negotiated Rate	$241.93
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$58.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4504522
Hospital Revenue Code	914
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4511522
Hospital Revenue Code	914
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4822522
Hospital Revenue Code	914
Min. Negotiated Rate	$58.22
Max. Negotiated Rate	$241.93
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$58.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$241.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4822522
Hospital Revenue Code	914
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4509522
Hospital Revenue Code	914
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4832522
Hospital Revenue Code	914
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4502522
Hospital Revenue Code	914
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

HYPNOTHERAPY ADULT

Facility

$750.00

Service Code	HCPCS 90880
Hospital Charge Code	4818522
Hospital Revenue Code	914
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

Know your out-of-pocket cost for care.

All Charges