Heights University Hospital

All Charges

Charge

Type

Setting

Price

INTRACRANIAL ANGIOPLASTY

Facility

$61,616.39

Service Code	HCPCS 61630
Hospital Charge Code	366861630
Hospital Revenue Code	361
Min. Negotiated Rate	$1,364.58
Max. Negotiated Rate	$18,484.92
Rate for Payer: Aetna Commercial	$18,484.92
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
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	$15,712.18
Rate for Payer: Cigna Commercial	$1,364.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,010.13
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

INTRACRANIAL ANGIOPLASTY

Facility

$61,616.39

Service Code	HCPCS 61630
Hospital Charge Code	411061630
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

INTRACRANIAL ANGIOPLASTY

Facility

$61,616.39

Service Code	HCPCS 61630
Hospital Charge Code	411061630
Hospital Revenue Code	361
Min. Negotiated Rate	$1,364.58
Max. Negotiated Rate	$18,484.92
Rate for Payer: Aetna Commercial	$18,484.92
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
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	$15,712.18
Rate for Payer: Cigna Commercial	$1,364.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,010.13
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

INTRACRANIAL ANGIOPLASTY

Facility

$61,616.39

Service Code	HCPCS 61630
Hospital Charge Code	366861630
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

INTRACRANIAL HEMORRHAGE

Facility

$18,396.00

Service Code	APR-DRG 0443
Min. Negotiated Rate	$15,794.69
Max. Negotiated Rate	$18,396.00
Rate for Payer: Aetna Better Health Medicaid	$18,035.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,396.00
Rate for Payer: Wellpoint Medicaid Managed Care	$15,794.69

INTRACRANIAL HEMORRHAGE

Facility

$14,100.01

Service Code	APR-DRG 0442
Min. Negotiated Rate	$10,695.90
Max. Negotiated Rate	$14,100.01
Rate for Payer: Aetna Better Health Medicaid	$13,823.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,100.01
Rate for Payer: Wellpoint Medicaid Managed Care	$10,695.90

INTRACRANIAL HEMORRHAGE

Facility

$32,831.34

Service Code	APR-DRG 0444
Min. Negotiated Rate	$20,677.43
Max. Negotiated Rate	$32,831.34
Rate for Payer: Aetna Better Health Medicaid	$20,677.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,090.98
Rate for Payer: Wellpoint Medicaid Managed Care	$32,831.34

INTRACRANIAL HEMORRHAGE

Facility

$10,135.39

Service Code	APR-DRG 0441
Min. Negotiated Rate	$8,306.58
Max. Negotiated Rate	$10,135.39
Rate for Payer: Aetna Better Health Medicaid	$9,936.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,135.39
Rate for Payer: Wellpoint Medicaid Managed Care	$8,306.58

INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS

Facility

$41,146.92

Service Code	MSDRG 065
Min. Negotiated Rate	$11,024.98
Max. Negotiated Rate	$41,146.92
Rate for Payer: Aetna Commercial	$34,067.19
Rate for Payer: Aetna Medicare Advantage	$11,024.98
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) Medicare Advantage	$13,715.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,118.34
Rate for Payer: Cigna Medicare Advantage	$13,715.64
Rate for Payer: Clover Medicare Advantage	$13,029.86
Rate for Payer: EmblemHealth Commercial	$41,146.92
Rate for Payer: Humana Medicare Advantage	$14,127.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,715.64
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,538.58
Rate for Payer: Wellcare Medicare Advantage	$13,715.64

INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC

Facility

$70,192.98

Service Code	MSDRG 064
Min. Negotiated Rate	$21,945.20
Max. Negotiated Rate	$70,192.98
Rate for Payer: Aetna Commercial	$67,810.67
Rate for Payer: Aetna Medicare Advantage	$21,945.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55,134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55,134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,397.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55,134.00
Rate for Payer: Cigna Medicare Advantage	$23,397.66
Rate for Payer: Clover Medicare Advantage	$22,227.78
Rate for Payer: EmblemHealth Commercial	$70,192.98
Rate for Payer: Humana Medicare Advantage	$24,099.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,397.66
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$24,801.52
Rate for Payer: Wellcare Medicare Advantage	$23,397.66

INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC

Facility

$31,687.44

Service Code	MSDRG 066
Min. Negotiated Rate	$7,468.57
Max. Negotiated Rate	$31,687.44
Rate for Payer: Aetna Commercial	$23,077.88
Rate for Payer: Aetna Medicare Advantage	$7,468.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,021.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,021.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,562.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,021.23
Rate for Payer: Cigna Medicare Advantage	$10,562.48
Rate for Payer: Clover Medicare Advantage	$10,034.36
Rate for Payer: EmblemHealth Commercial	$31,687.44
Rate for Payer: Humana Medicare Advantage	$10,879.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,562.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,196.23
Rate for Payer: Wellcare Medicare Advantage	$10,562.48

INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC

Facility

$178,506.30

Service Code	MSDRG 021
Min. Negotiated Rate	$52,401.58
Max. Negotiated Rate	$178,506.30
Rate for Payer: Aetna Commercial	$178,506.30
Rate for Payer: Aetna Medicare Advantage	$57,769.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169,261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169,261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$55,159.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169,261.38
Rate for Payer: Cigna Medicare Advantage	$55,159.56
Rate for Payer: Clover Medicare Advantage	$52,401.58
Rate for Payer: EmblemHealth Commercial	$165,478.68
Rate for Payer: Humana Medicare Advantage	$56,814.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$55,159.56
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$58,469.13
Rate for Payer: Wellcare Medicare Advantage	$55,159.56

INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC

Facility

$265,334.99

Service Code	MSDRG 020
Min. Negotiated Rate	$76,069.65
Max. Negotiated Rate	$265,334.99
Rate for Payer: Aetna Commercial	$265,334.99
Rate for Payer: Aetna Medicare Advantage	$85,868.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232,941.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232,941.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$80,073.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232,941.15
Rate for Payer: Cigna Medicare Advantage	$80,073.32
Rate for Payer: Clover Medicare Advantage	$76,069.65
Rate for Payer: EmblemHealth Commercial	$240,219.96
Rate for Payer: Humana Medicare Advantage	$82,475.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$80,073.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$84,877.72
Rate for Payer: Wellcare Medicare Advantage	$80,073.32

INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC

Facility

$108,062.64

Service Code	MSDRG 022
Min. Negotiated Rate	$32,948.73
Max. Negotiated Rate	$108,062.64
Rate for Payer: Aetna Commercial	$107,141.55
Rate for Payer: Aetna Medicare Advantage	$34,673.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108,062.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108,062.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34,682.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108,062.64
Rate for Payer: Cigna Medicare Advantage	$34,682.87
Rate for Payer: Clover Medicare Advantage	$32,948.73
Rate for Payer: EmblemHealth Commercial	$104,048.61
Rate for Payer: Humana Medicare Advantage	$35,723.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$34,682.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$36,763.84
Rate for Payer: Wellcare Medicare Advantage	$34,682.87

INTRAFIX PEEK TP SCR 8-10x30MM

Facility

$1,420.00

Service Code	HCPCS C1713
Hospital Charge Code	270673367
Hospital Revenue Code	278
Min. Negotiated Rate	$213.00
Max. Negotiated Rate	$343.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$343.64
Rate for Payer: Qualcare PPO/HMO/WC	$213.00

INTRAFIX PEEK TP SCR 8-10x30MM

Facility

$1,420.00

Service Code	HCPCS C1713
Hospital Charge Code	270673367
Hospital Revenue Code	278
Min. Negotiated Rate	$213.00
Max. Negotiated Rate	$710.00
Rate for Payer: Aetna Commercial	$426.00
Rate for Payer: Aetna Medicare Advantage	$426.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$362.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$362.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$284.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$362.10
Rate for Payer: Cigna Commercial	$710.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$343.64
Rate for Payer: Qualcare PPO/HMO/WC	$213.00

INTRALIPID 20% 250ML EMULSION

Facility

$278.59

Service Code	NDC 338051902
Hospital Charge Code	60630044
Hospital Revenue Code	250
Min. Negotiated Rate	$41.79
Max. Negotiated Rate	$41.79
Rate for Payer: Qualcare PPO/HMO/WC	$41.79

INTRALIPID 20% 250ML EMULSION

Facility

$278.59

Service Code	NDC 338051902
Hospital Charge Code	60630044
Hospital Revenue Code	250
Min. Negotiated Rate	$36.22
Max. Negotiated Rate	$139.29
Rate for Payer: Aetna Commercial	$83.58
Rate for Payer: Aetna Medicare Advantage	$83.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.04
Rate for Payer: Cigna Commercial	$139.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.22
Rate for Payer: Oxford Commercial	$139.29
Rate for Payer: Qualcare PPO/HMO/WC	$41.79
Rate for Payer: UnitedHealthcare Commercial	$139.29

INTRALIPID 20% 500ML EMULSION

Facility

$292.52

Service Code	NDC 338051903
Hospital Charge Code	60630045
Hospital Revenue Code	250
Min. Negotiated Rate	$38.03
Max. Negotiated Rate	$146.26
Rate for Payer: Aetna Commercial	$87.76
Rate for Payer: Aetna Medicare Advantage	$87.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.59
Rate for Payer: Cigna Commercial	$146.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.03
Rate for Payer: Oxford Commercial	$146.26
Rate for Payer: Qualcare PPO/HMO/WC	$43.88
Rate for Payer: UnitedHealthcare Commercial	$146.26

INTRALIPID 20% 500ML EMULSION

Facility

$292.52

Service Code	NDC 338051903
Hospital Charge Code	60630045
Hospital Revenue Code	250
Min. Negotiated Rate	$43.88
Max. Negotiated Rate	$43.88
Rate for Payer: Qualcare PPO/HMO/WC	$43.88

INTRAOCULAR PROCEDURES WITH CC/MCC

Facility

$64,303.65

Service Code	MSDRG 116
Min. Negotiated Rate	$19,731.04
Max. Negotiated Rate	$64,303.65
Rate for Payer: Aetna Commercial	$60,968.91
Rate for Payer: Aetna Medicare Advantage	$19,731.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50,447.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50,447.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,434.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50,447.61
Rate for Payer: Cigna Commercial	$38,912.12
Rate for Payer: Cigna Medicare Advantage	$21,434.55
Rate for Payer: Clover Medicare Advantage	$20,362.82
Rate for Payer: EmblemHealth Commercial	$64,303.65
Rate for Payer: Humana Medicare Advantage	$22,077.59
Rate for Payer: Oxford Commercial	$24,318.94
Rate for Payer: UnitedHealthcare Commercial	$27,604.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,434.55
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,720.62
Rate for Payer: Wellcare Medicare Advantage	$21,434.55

INTRAOCULAR PROCEDURES WITHOUT CC/MCC

Facility

$43,312.26

Service Code	MSDRG 117
Min. Negotiated Rate	$11,839.06
Max. Negotiated Rate	$43,312.26
Rate for Payer: Aetna Commercial	$36,582.70
Rate for Payer: Aetna Medicare Advantage	$11,839.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33,080.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33,080.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,437.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,080.40
Rate for Payer: Cigna Commercial	$23,348.13
Rate for Payer: Cigna Medicare Advantage	$14,437.42
Rate for Payer: Clover Medicare Advantage	$13,715.55
Rate for Payer: EmblemHealth Commercial	$43,312.26
Rate for Payer: Humana Medicare Advantage	$14,870.54
Rate for Payer: Oxford Commercial	$14,591.91
Rate for Payer: UnitedHealthcare Commercial	$16,563.17
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,437.42
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,303.67
Rate for Payer: Wellcare Medicare Advantage	$14,437.42

INTRAOSSESOUS INFUSION SYSTEM

Facility

$1,475.00

Hospital Charge Code	270658942
Hospital Revenue Code	272
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$221.25
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

INTRAOSSESOUS INFUSION SYSTEM

Facility

$1,475.00

Hospital Charge Code	270658942
Hospital Revenue Code	272
Min. Negotiated Rate	$191.75
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$442.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.75
Rate for Payer: Oxford Commercial	$737.50
Rate for Payer: Qualcare PPO/HMO/WC	$221.25
Rate for Payer: UnitedHealthcare Commercial	$737.50

INTRAPLEU.AEROSOL SUR.TALC(BRY

Facility

$668.00

Hospital Charge Code	270335411
Hospital Revenue Code	272
Min. Negotiated Rate	$100.20
Max. Negotiated Rate	$100.20
Rate for Payer: Qualcare PPO/HMO/WC	$100.20

Know your out-of-pocket cost for care.

All Charges