Heights University Hospital

All Charges

Charge

Type

Setting

Price

INF CONCURRENT THERAPEUTIC

Facility

$2,800.00

Service Code	HCPCS 96368
Hospital Charge Code	73190101
Hospital Revenue Code	260
Min. Negotiated Rate	$12.88
Max. Negotiated Rate	$840.00
Rate for Payer: Aetna Commercial	$840.00
Rate for Payer: Aetna Medicare Advantage	$840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.00
Rate for Payer: Cigna Commercial	$23.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.00
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00
Rate for Payer: UnitedHealthcare Commercial	$802.00

INF CONCURRENT THERAPEUTIC

Facility

$2,800.00

Service Code	HCPCS 96368
Hospital Charge Code	100129
Hospital Revenue Code	260
Min. Negotiated Rate	$12.88
Max. Negotiated Rate	$840.00
Rate for Payer: Aetna Commercial	$840.00
Rate for Payer: Aetna Medicare Advantage	$840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.00
Rate for Payer: Cigna Commercial	$23.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.00
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00
Rate for Payer: UnitedHealthcare Commercial	$802.00

INF CONCURRENT THERAPEUTIC

Facility

$335.00

Service Code	HCPCS 96368
Hospital Charge Code	270329882
Hospital Revenue Code	260
Min. Negotiated Rate	$12.88
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$100.50
Rate for Payer: Aetna Medicare Advantage	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.42
Rate for Payer: Cigna Commercial	$23.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.55
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Commercial	$802.00

INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC

Facility

$40,238.43

Service Code	MSDRG 758
Min. Negotiated Rate	$10,683.42
Max. Negotiated Rate	$40,238.43
Rate for Payer: Aetna Commercial	$33,011.77
Rate for Payer: Aetna Medicare Advantage	$10,683.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,291.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,291.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,412.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,291.33
Rate for Payer: Cigna Commercial	$21,069.06
Rate for Payer: Cigna Medicare Advantage	$13,412.81
Rate for Payer: Clover Medicare Advantage	$12,742.17
Rate for Payer: EmblemHealth Commercial	$40,238.43
Rate for Payer: Humana Medicare Advantage	$13,815.19
Rate for Payer: Oxford Commercial	$13,167.55
Rate for Payer: UnitedHealthcare Commercial	$14,946.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,412.81
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,217.58
Rate for Payer: Wellcare Medicare Advantage	$13,412.81

INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$53,384.19

Service Code	MSDRG 757
Min. Negotiated Rate	$15,625.73
Max. Negotiated Rate	$53,384.19
Rate for Payer: Aetna Commercial	$48,283.51
Rate for Payer: Aetna Medicare Advantage	$15,625.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,074.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,074.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,794.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,074.83
Rate for Payer: Cigna Commercial	$30,815.92
Rate for Payer: Cigna Medicare Advantage	$17,794.73
Rate for Payer: Clover Medicare Advantage	$16,904.99
Rate for Payer: EmblemHealth Commercial	$53,384.19
Rate for Payer: Humana Medicare Advantage	$18,328.57
Rate for Payer: Oxford Commercial	$19,259.06
Rate for Payer: UnitedHealthcare Commercial	$21,860.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,794.73
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18,862.41
Rate for Payer: Wellcare Medicare Advantage	$17,794.73

INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility

$31,083.69

Service Code	MSDRG 759
Min. Negotiated Rate	$7,241.59
Max. Negotiated Rate	$31,083.69
Rate for Payer: Aetna Commercial	$22,376.51
Rate for Payer: Aetna Medicare Advantage	$7,241.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17,918.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17,918.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,361.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17,918.55
Rate for Payer: Cigna Commercial	$14,281.34
Rate for Payer: Cigna Medicare Advantage	$10,361.23
Rate for Payer: Clover Medicare Advantage	$9,843.17
Rate for Payer: EmblemHealth Commercial	$31,083.69
Rate for Payer: Humana Medicare Advantage	$10,672.07
Rate for Payer: Oxford Commercial	$8,925.42
Rate for Payer: UnitedHealthcare Commercial	$10,131.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,361.23
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10,982.90
Rate for Payer: Wellcare Medicare Advantage	$10,361.23

INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$6,524.79

Service Code	APR-DRG 1132
Min. Negotiated Rate	$4,469.49
Max. Negotiated Rate	$6,524.79
Rate for Payer: Aetna Better Health Medicaid	$6,396.85
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,524.79
Rate for Payer: Wellpoint Medicaid Managed Care	$4,469.49

INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$19,407.13

Service Code	APR-DRG 1134
Min. Negotiated Rate	$14,661.98
Max. Negotiated Rate	$19,407.13
Rate for Payer: Aetna Better Health Medicaid	$19,026.60
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,407.13
Rate for Payer: Wellpoint Medicaid Managed Care	$14,661.98

INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$4,481.40

Service Code	APR-DRG 1131
Min. Negotiated Rate	$3,067.62
Max. Negotiated Rate	$4,481.40
Rate for Payer: Aetna Better Health Medicaid	$4,393.53
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,481.40
Rate for Payer: Wellpoint Medicaid Managed Care	$3,067.62

INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$9,798.34

Service Code	APR-DRG 1133
Min. Negotiated Rate	$6,954.51
Max. Negotiated Rate	$9,798.34
Rate for Payer: Aetna Better Health Medicaid	$9,606.22
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,798.34
Rate for Payer: Wellpoint Medicaid Managed Care	$6,954.51

INFECTIOUS AGENT DETECTION DNA

Facility

$284.50

Service Code	HCPCS 87800
Hospital Charge Code	38475119
Hospital Revenue Code	306
Min. Negotiated Rate	$21.84
Max. Negotiated Rate	$160.01
Rate for Payer: Aetna Commercial	$141.49
Rate for Payer: Aetna Medicare Advantage	$43.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$43.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.01
Rate for Payer: Cigna Commercial	$43.67
Rate for Payer: Cigna Medicare Advantage	$21.84
Rate for Payer: Clover Medicare Advantage	$41.49
Rate for Payer: EmblemHealth Commercial	$131.01
Rate for Payer: Humana Medicare Advantage	$44.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.98
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.67
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$43.67
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$46.29
Rate for Payer: Wellcare Medicare Advantage	$43.67

INFECTIOUS AGENT DETECTION DNA

Facility

$284.50

Service Code	HCPCS 87800
Hospital Charge Code	38475119
Hospital Revenue Code	306
Min. Negotiated Rate	$42.67
Max. Negotiated Rate	$42.67
Rate for Payer: Qualcare PPO/HMO/WC	$42.67

INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$32,776.85

Service Code	APR-DRG 7103
Min. Negotiated Rate	$25,000.40
Max. Negotiated Rate	$32,776.85
Rate for Payer: Aetna Better Health Medicaid	$32,134.17
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$32,776.85
Rate for Payer: Wellpoint Medicaid Managed Care	$25,000.40

INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$13,675.82

Service Code	APR-DRG 7101
Min. Negotiated Rate	$10,338.11
Max. Negotiated Rate	$13,675.82
Rate for Payer: Aetna Better Health Medicaid	$13,407.67
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,675.82
Rate for Payer: Wellpoint Medicaid Managed Care	$10,338.11

INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$58,804.28

Service Code	APR-DRG 7104
Min. Negotiated Rate	$51,088.79
Max. Negotiated Rate	$58,804.28
Rate for Payer: Aetna Better Health Medicaid	$57,651.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$58,804.28
Rate for Payer: Wellpoint Medicaid Managed Care	$51,088.79

INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$19,959.07

Service Code	APR-DRG 7102
Min. Negotiated Rate	$14,558.95
Max. Negotiated Rate	$19,959.07
Rate for Payer: Aetna Better Health Medicaid	$19,567.72
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,959.07
Rate for Payer: Wellpoint Medicaid Managed Care	$14,558.95

INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC

Facility

$69,818.55

Service Code	MSDRG 854
Min. Negotiated Rate	$21,804.43
Max. Negotiated Rate	$69,818.55
Rate for Payer: Aetna Commercial	$67,375.69
Rate for Payer: Aetna Medicare Advantage	$21,804.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56,236.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56,236.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56,236.68
Rate for Payer: Cigna Commercial	$43,001.11
Rate for Payer: Cigna Medicare Advantage	$23,272.85
Rate for Payer: Clover Medicare Advantage	$22,109.21
Rate for Payer: EmblemHealth Commercial	$69,818.55
Rate for Payer: Humana Medicare Advantage	$23,971.04
Rate for Payer: Oxford Commercial	$26,874.44
Rate for Payer: UnitedHealthcare Commercial	$30,504.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,272.85
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$24,669.22
Rate for Payer: Wellcare Medicare Advantage	$23,272.85

INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC

Facility

$166,529.00

Service Code	MSDRG 853
Min. Negotiated Rate	$49,136.76
Max. Negotiated Rate	$166,529.00
Rate for Payer: Aetna Commercial	$166,529.00
Rate for Payer: Aetna Medicare Advantage	$53,892.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137,835.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137,835.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$51,722.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137,835.00
Rate for Payer: Cigna Commercial	$106,283.61
Rate for Payer: Cigna Medicare Advantage	$51,722.91
Rate for Payer: Clover Medicare Advantage	$49,136.76
Rate for Payer: EmblemHealth Commercial	$155,168.73
Rate for Payer: Humana Medicare Advantage	$53,274.60
Rate for Payer: Oxford Commercial	$66,424.17
Rate for Payer: UnitedHealthcare Commercial	$75,397.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$51,722.91
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$54,826.28
Rate for Payer: Wellcare Medicare Advantage	$51,722.91

INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC

Facility

$55,279.56

Service Code	MSDRG 855
Min. Negotiated Rate	$16,338.32
Max. Negotiated Rate	$55,279.56
Rate for Payer: Aetna Commercial	$50,485.41
Rate for Payer: Aetna Medicare Advantage	$16,338.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46,863.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46,863.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,426.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46,863.90
Rate for Payer: Cigna Commercial	$32,221.24
Rate for Payer: Cigna Medicare Advantage	$18,426.52
Rate for Payer: Clover Medicare Advantage	$17,505.19
Rate for Payer: EmblemHealth Commercial	$55,279.56
Rate for Payer: Humana Medicare Advantage	$18,979.32
Rate for Payer: Oxford Commercial	$20,137.34
Rate for Payer: UnitedHealthcare Commercial	$22,857.75
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,426.52
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,532.11
Rate for Payer: Wellcare Medicare Advantage	$18,426.52

INFED INJECTION

Facility

$196.00

Hospital Charge Code	60634865
Hospital Revenue Code	636
Min. Negotiated Rate	$29.40
Max. Negotiated Rate	$47.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.43
Rate for Payer: Qualcare PPO/HMO/WC	$29.40

INFED INJECTION

Facility

$196.00

Hospital Charge Code	60634865
Hospital Revenue Code	636
Min. Negotiated Rate	$29.40
Max. Negotiated Rate	$98.00
Rate for Payer: Aetna Commercial	$58.80
Rate for Payer: Aetna Medicare Advantage	$58.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.98
Rate for Payer: Cigna Commercial	$98.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.43
Rate for Payer: Qualcare PPO/HMO/WC	$29.40

INFINITY TIPLESS 0.9 MM

Facility

$817.00

Hospital Charge Code	270655294
Hospital Revenue Code	270
Min. Negotiated Rate	$106.21
Max. Negotiated Rate	$408.50
Rate for Payer: Aetna Commercial	$245.10
Rate for Payer: Aetna Medicare Advantage	$245.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.34
Rate for Payer: Cigna Commercial	$408.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.21
Rate for Payer: Oxford Commercial	$408.50
Rate for Payer: Qualcare PPO/HMO/WC	$122.55
Rate for Payer: UnitedHealthcare Commercial	$408.50

INFINITY TIPLESS 0.9 MM

Facility

$817.00

Hospital Charge Code	270655294
Hospital Revenue Code	270
Min. Negotiated Rate	$122.55
Max. Negotiated Rate	$122.55
Rate for Payer: Qualcare PPO/HMO/WC	$122.55

INFLAMASE FORTE 1%/5ML

Facility

$61.00

Hospital Charge Code	60634563
Hospital Revenue Code	250
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$30.50
Rate for Payer: Aetna Commercial	$18.30
Rate for Payer: Aetna Medicare Advantage	$18.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.55
Rate for Payer: Cigna Commercial	$30.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.93
Rate for Payer: Oxford Commercial	$30.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.15
Rate for Payer: UnitedHealthcare Commercial	$30.50

INFLAMASE FORTE 1%/5ML

Facility

$61.00

Hospital Charge Code	60634563
Hospital Revenue Code	250
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

Know your out-of-pocket cost for care.

All Charges