Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC

Facility

$107,357.35

Service Code	MSDRG 656
Min. Negotiated Rate	$33,007.55
Max. Negotiated Rate	$107,357.35
Rate for Payer: Aetna Commercial	$107,357.35
Rate for Payer: Aetna Medicare Advantage	$34,743.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86,560.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86,560.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34,744.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86,560.38
Rate for Payer: Cigna Commercial	$68,518.56
Rate for Payer: Cigna Medicare Advantage	$34,744.79
Rate for Payer: Clover Medicare Advantage	$33,007.55
Rate for Payer: EmblemHealth Commercial	$104,234.37
Rate for Payer: Humana Medicare Advantage	$35,787.13
Rate for Payer: Oxford Commercial	$42,822.11
Rate for Payer: UnitedHealthcare Commercial	$48,607.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$34,744.79
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$36,829.48
Rate for Payer: Wellcare Medicare Advantage	$34,744.79

KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC

Facility

$56,864.37

Service Code	MSDRG 658
Min. Negotiated Rate	$16,934.15
Max. Negotiated Rate	$56,864.37
Rate for Payer: Aetna Commercial	$52,326.52
Rate for Payer: Aetna Medicare Advantage	$16,934.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40,799.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40,799.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,954.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40,799.16
Rate for Payer: Cigna Commercial	$33,396.29
Rate for Payer: Cigna Medicare Advantage	$18,954.79
Rate for Payer: Clover Medicare Advantage	$18,007.05
Rate for Payer: EmblemHealth Commercial	$56,864.37
Rate for Payer: Humana Medicare Advantage	$19,523.43
Rate for Payer: Oxford Commercial	$20,871.71
Rate for Payer: UnitedHealthcare Commercial	$23,691.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,954.79
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,092.08
Rate for Payer: Wellcare Medicare Advantage	$18,954.79

KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC

Facility

$50,185.53

Service Code	MSDRG 660
Min. Negotiated Rate	$14,423.16
Max. Negotiated Rate	$50,185.53
Rate for Payer: Aetna Commercial	$44,567.56
Rate for Payer: Aetna Medicare Advantage	$14,423.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,215.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,215.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,728.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,215.45
Rate for Payer: Cigna Commercial	$28,444.31
Rate for Payer: Cigna Medicare Advantage	$16,728.51
Rate for Payer: Clover Medicare Advantage	$15,892.08
Rate for Payer: EmblemHealth Commercial	$50,185.53
Rate for Payer: Humana Medicare Advantage	$17,230.37
Rate for Payer: Oxford Commercial	$17,776.87
Rate for Payer: UnitedHealthcare Commercial	$20,178.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,728.51
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17,732.22
Rate for Payer: Wellcare Medicare Advantage	$16,728.51

KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC

Facility

$85,678.84

Service Code	MSDRG 659
Min. Negotiated Rate	$27,098.34
Max. Negotiated Rate	$85,678.84
Rate for Payer: Aetna Medicare Advantage	$27,727.78
Rate for Payer: Aetna Commercial	$85,678.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71,398.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71,398.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$28,524.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71,398.53
Rate for Payer: Cigna Commercial	$54,682.71
Rate for Payer: Cigna Medicare Advantage	$28,524.57
Rate for Payer: Clover Medicare Advantage	$27,098.34
Rate for Payer: EmblemHealth Commercial	$85,573.71
Rate for Payer: Humana Medicare Advantage	$29,380.31
Rate for Payer: Oxford Commercial	$34,175.11
Rate for Payer: UnitedHealthcare Commercial	$38,791.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$28,524.57
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$30,236.04
Rate for Payer: Wellcare Medicare Advantage	$28,524.57

KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC

Facility

$41,875.47

Service Code	MSDRG 661
Min. Negotiated Rate	$11,298.89
Max. Negotiated Rate	$41,875.47
Rate for Payer: Aetna Commercial	$34,913.57
Rate for Payer: Aetna Medicare Advantage	$11,298.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,945.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,945.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,958.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,945.35
Rate for Payer: Cigna Commercial	$22,282.84
Rate for Payer: Cigna Medicare Advantage	$13,958.49
Rate for Payer: Clover Medicare Advantage	$13,260.57
Rate for Payer: EmblemHealth Commercial	$41,875.47
Rate for Payer: Humana Medicare Advantage	$14,377.24
Rate for Payer: Oxford Commercial	$13,926.13
Rate for Payer: UnitedHealthcare Commercial	$15,807.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,958.49
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,796.00
Rate for Payer: Wellcare Medicare Advantage	$13,958.49

KIDNEY AND URINARY TRACT INFECTIONS

Facility

$8,138.38

Service Code	APR-DRG 4632
Min. Negotiated Rate	$5,360.99
Max. Negotiated Rate	$8,138.38
Rate for Payer: Aetna Better Health Medicaid	$7,978.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,138.38
Rate for Payer: Wellpoint Medicaid Managed Care	$5,360.99

KIDNEY AND URINARY TRACT INFECTIONS

Facility

$6,533.15

Service Code	APR-DRG 4631
Min. Negotiated Rate	$4,254.96
Max. Negotiated Rate	$6,533.15
Rate for Payer: Aetna Better Health Medicaid	$6,405.05
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,533.15
Rate for Payer: Wellpoint Medicaid Managed Care	$4,254.96

KIDNEY AND URINARY TRACT INFECTIONS

Facility

$10,980.84

Service Code	APR-DRG 4633
Min. Negotiated Rate	$7,446.06
Max. Negotiated Rate	$10,980.84
Rate for Payer: Aetna Better Health Medicaid	$10,765.53
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,980.84
Rate for Payer: Wellpoint Medicaid Managed Care	$7,446.06

KIDNEY AND URINARY TRACT INFECTIONS

Facility

$18,185.33

Service Code	APR-DRG 4634
Min. Negotiated Rate	$14,565.49
Max. Negotiated Rate	$18,185.33
Rate for Payer: Aetna Better Health Medicaid	$17,828.75
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,185.33
Rate for Payer: Wellpoint Medicaid Managed Care	$14,565.49

KIDNEY AND URINARY TRACT INFECTIONS WITH MCC

Facility

$45,500.79

Service Code	MSDRG 689
Min. Negotiated Rate	$12,661.87
Max. Negotiated Rate	$45,500.79
Rate for Payer: Aetna Commercial	$39,125.18
Rate for Payer: Aetna Medicare Advantage	$12,661.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32,253.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32,253.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,166.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32,253.39
Rate for Payer: Cigna Commercial	$24,970.82
Rate for Payer: Cigna Medicare Advantage	$15,166.93
Rate for Payer: Clover Medicare Advantage	$14,408.58
Rate for Payer: EmblemHealth Commercial	$45,500.79
Rate for Payer: Humana Medicare Advantage	$15,621.94
Rate for Payer: Oxford Commercial	$15,606.03
Rate for Payer: UnitedHealthcare Commercial	$17,714.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,166.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16,076.95
Rate for Payer: Wellcare Medicare Advantage	$15,166.93

KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC

Facility

$35,318.55

Service Code	MSDRG 690
Min. Negotiated Rate	$8,833.74
Max. Negotiated Rate	$35,318.55
Rate for Payer: Aetna Commercial	$27,296.26
Rate for Payer: Aetna Medicare Advantage	$8,833.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,329.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,329.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,772.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,329.27
Rate for Payer: Cigna Commercial	$17,421.25
Rate for Payer: Cigna Medicare Advantage	$11,772.85
Rate for Payer: Clover Medicare Advantage	$11,184.21
Rate for Payer: EmblemHealth Commercial	$35,318.55
Rate for Payer: Humana Medicare Advantage	$12,126.04
Rate for Payer: Oxford Commercial	$10,887.77
Rate for Payer: UnitedHealthcare Commercial	$12,358.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,772.85
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12,479.22
Rate for Payer: Wellcare Medicare Advantage	$11,772.85

KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$10,118.57

Service Code	APR-DRG 4612
Min. Negotiated Rate	$6,987.97
Max. Negotiated Rate	$10,118.57
Rate for Payer: Aetna Better Health Medicaid	$9,920.17
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,118.57
Rate for Payer: Wellpoint Medicaid Managed Care	$6,987.97

KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$15,029.69

Service Code	APR-DRG 4613
Min. Negotiated Rate	$10,803.47
Max. Negotiated Rate	$15,029.69
Rate for Payer: Aetna Better Health Medicaid	$14,734.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,029.69
Rate for Payer: Wellpoint Medicaid Managed Care	$10,803.47

KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$7,979.68

Service Code	APR-DRG 4611
Min. Negotiated Rate	$5,344.41
Max. Negotiated Rate	$7,979.68
Rate for Payer: Aetna Better Health Medicaid	$7,823.22
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,979.68
Rate for Payer: Wellpoint Medicaid Managed Care	$5,344.41

KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$22,700.43

Service Code	APR-DRG 4614
Min. Negotiated Rate	$19,667.78
Max. Negotiated Rate	$22,700.43
Rate for Payer: Aetna Better Health Medicaid	$22,255.32
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,700.43
Rate for Payer: Wellpoint Medicaid Managed Care	$19,667.78

KIDNEY AND URINARY TRACT NEOPLASMS WITH CC

Facility

$42,235.38

Service Code	MSDRG 687
Min. Negotiated Rate	$11,434.20
Max. Negotiated Rate	$42,235.38
Rate for Payer: Aetna Commercial	$35,331.68
Rate for Payer: Aetna Medicare Advantage	$11,434.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,945.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,945.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,078.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,945.35
Rate for Payer: Cigna Commercial	$22,549.70
Rate for Payer: Cigna Medicare Advantage	$14,078.46
Rate for Payer: Clover Medicare Advantage	$13,374.54
Rate for Payer: EmblemHealth Commercial	$42,235.38
Rate for Payer: Humana Medicare Advantage	$14,500.81
Rate for Payer: Oxford Commercial	$14,092.91
Rate for Payer: UnitedHealthcare Commercial	$15,996.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,078.46
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,923.17
Rate for Payer: Wellcare Medicare Advantage	$14,078.46

KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC

Facility

$64,175.94

Service Code	MSDRG 686
Min. Negotiated Rate	$19,683.03
Max. Negotiated Rate	$64,175.94
Rate for Payer: Aetna Commercial	$60,820.56
Rate for Payer: Aetna Medicare Advantage	$19,683.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50,723.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50,723.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,391.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50,723.28
Rate for Payer: Cigna Commercial	$38,817.43
Rate for Payer: Cigna Medicare Advantage	$21,391.98
Rate for Payer: Clover Medicare Advantage	$20,322.38
Rate for Payer: EmblemHealth Commercial	$64,175.94
Rate for Payer: Humana Medicare Advantage	$22,033.74
Rate for Payer: Oxford Commercial	$24,259.76
Rate for Payer: UnitedHealthcare Commercial	$27,537.09
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,391.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,675.50
Rate for Payer: Wellcare Medicare Advantage	$21,391.98

KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC

Facility

$34,761.27

Service Code	MSDRG 688
Min. Negotiated Rate	$8,624.21
Max. Negotiated Rate	$34,761.27
Rate for Payer: Aetna Commercial	$26,648.81
Rate for Payer: Aetna Medicare Advantage	$8,624.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,502.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,502.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,587.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,502.26
Rate for Payer: Cigna Commercial	$17,008.05
Rate for Payer: Cigna Medicare Advantage	$11,587.09
Rate for Payer: Clover Medicare Advantage	$11,007.74
Rate for Payer: EmblemHealth Commercial	$34,761.27
Rate for Payer: Humana Medicare Advantage	$11,934.70
Rate for Payer: Oxford Commercial	$10,629.53
Rate for Payer: UnitedHealthcare Commercial	$12,065.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,587.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12,282.32
Rate for Payer: Wellcare Medicare Advantage	$11,587.09

KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$56,103.62

Service Code	APR-DRG 4424
Min. Negotiated Rate	$45,570.03
Max. Negotiated Rate	$56,103.62
Rate for Payer: Aetna Better Health Medicaid	$55,003.55
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$56,103.62
Rate for Payer: Wellpoint Medicaid Managed Care	$45,570.03

KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$19,108.02

Service Code	APR-DRG 4421
Min. Negotiated Rate	$12,802.57
Max. Negotiated Rate	$19,108.02
Rate for Payer: Aetna Better Health Medicaid	$18,733.35
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,108.02
Rate for Payer: Wellpoint Medicaid Managed Care	$12,802.57

KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$22,008.06

Service Code	APR-DRG 4422
Min. Negotiated Rate	$14,832.53
Max. Negotiated Rate	$22,008.06
Rate for Payer: Aetna Better Health Medicaid	$21,576.53
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,008.06
Rate for Payer: Wellpoint Medicaid Managed Care	$14,832.53

KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$31,748.83

Service Code	APR-DRG 4423
Min. Negotiated Rate	$22,903.65
Max. Negotiated Rate	$31,748.83
Rate for Payer: Aetna Better Health Medicaid	$31,126.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,748.83
Rate for Payer: Wellpoint Medicaid Managed Care	$22,903.65

KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$26,976.76

Service Code	APR-DRG 4433
Min. Negotiated Rate	$19,246.29
Max. Negotiated Rate	$26,976.76
Rate for Payer: Aetna Better Health Medicaid	$26,447.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,976.76
Rate for Payer: Wellpoint Medicaid Managed Care	$19,246.29

KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$18,512.54

Service Code	APR-DRG 4432
Min. Negotiated Rate	$13,167.49
Max. Negotiated Rate	$18,512.54
Rate for Payer: Aetna Better Health Medicaid	$18,149.55
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,512.54
Rate for Payer: Wellpoint Medicaid Managed Care	$13,167.49

KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$45,240.70

Service Code	APR-DRG 4434
Min. Negotiated Rate	$40,011.03
Max. Negotiated Rate	$45,240.70
Rate for Payer: Aetna Better Health Medicaid	$44,353.63
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$45,240.70
Rate for Payer: Wellpoint Medicaid Managed Care	$40,011.03

Know your out-of-pocket cost for care.

All Charges