Heights University Hospital

All Charges

Charge

Type

Setting

Price

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 SIGNS AND SYMPTOMS WITH MCC

Facility

$45,021.87

Service Code	MSDRG 695
Min. Negotiated Rate	$12,481.81
Max. Negotiated Rate	$45,021.87
Rate for Payer: Aetna Commercial	$38,568.79
Rate for Payer: Aetna Medicare Advantage	$12,481.81
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	$15,007.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,080.40
Rate for Payer: Cigna Commercial	$24,615.72
Rate for Payer: Cigna Medicare Advantage	$15,007.29
Rate for Payer: Clover Medicare Advantage	$14,256.93
Rate for Payer: EmblemHealth Commercial	$45,021.87
Rate for Payer: Humana Medicare Advantage	$15,457.51
Rate for Payer: Oxford Commercial	$15,384.11
Rate for Payer: UnitedHealthcare Commercial	$17,462.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,007.29
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,907.73
Rate for Payer: Wellcare Medicare Advantage	$15,007.29

KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC

Facility

$31,820.94

Service Code	MSDRG 696
Min. Negotiated Rate	$7,518.77
Max. Negotiated Rate	$31,820.94
Rate for Payer: Aetna Commercial	$23,233.00
Rate for Payer: Aetna Medicare Advantage	$7,518.77
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	$10,606.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,021.23
Rate for Payer: Cigna Commercial	$14,827.97
Rate for Payer: Cigna Medicare Advantage	$10,606.98
Rate for Payer: Clover Medicare Advantage	$10,076.63
Rate for Payer: EmblemHealth Commercial	$31,820.94
Rate for Payer: Humana Medicare Advantage	$10,925.19
Rate for Payer: Oxford Commercial	$9,267.05
Rate for Payer: UnitedHealthcare Commercial	$10,518.96
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,606.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,243.40
Rate for Payer: Wellcare Medicare Advantage	$10,606.98

KIDNEY FUNCTION ASSESSMENT

Facility

$46.10

Service Code	HCPCS 99271
Hospital Charge Code	6016323
Hospital Revenue Code	510
Min. Negotiated Rate	$6.92
Max. Negotiated Rate	$6.92
Rate for Payer: Qualcare PPO/HMO/WC	$6.92

KIDNEY FUNCTION ASSESSMENT

Facility

$46.10

Service Code	HCPCS 99271
Hospital Charge Code	6016323
Hospital Revenue Code	510
Min. Negotiated Rate	$5.99
Max. Negotiated Rate	$23.05
Rate for Payer: Aetna Commercial	$13.83
Rate for Payer: Aetna Medicare Advantage	$13.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.76
Rate for Payer: Cigna Commercial	$23.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.92

KIDNEY TRANSPLANT

Facility

$108,898.37

Service Code	MSDRG 652
Min. Negotiated Rate	$33,427.60
Max. Negotiated Rate	$108,898.37
Rate for Payer: Aetna Commercial	$108,898.37
Rate for Payer: Aetna Medicare Advantage	$35,242.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82,701.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82,701.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35,186.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82,701.00
Rate for Payer: Cigna Commercial	$69,502.07
Rate for Payer: Cigna Medicare Advantage	$35,186.95
Rate for Payer: Clover Medicare Advantage	$33,427.60
Rate for Payer: EmblemHealth Commercial	$105,560.85
Rate for Payer: Humana Medicare Advantage	$36,242.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$35,186.95
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$37,298.17
Rate for Payer: Wellcare Medicare Advantage	$35,186.95

KIDNEY TRANSPLANT

Facility

$60,724.06

Service Code	APR-DRG 4401
Min. Negotiated Rate	$47,112.01
Max. Negotiated Rate	$60,724.06
Rate for Payer: Aetna Better Health Medicaid	$59,533.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$60,724.06
Rate for Payer: Wellpoint Medicaid Managed Care	$47,112.01

KIDNEY TRANSPLANT

Facility

$123,268.15

Service Code	APR-DRG 4404
Min. Negotiated Rate	$88,248.30
Max. Negotiated Rate	$123,268.15
Rate for Payer: Aetna Better Health Medicaid	$120,851.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$123,268.15
Rate for Payer: Wellpoint Medicaid Managed Care	$88,248.30

KIDNEY TRANSPLANT

Facility

$67,723.47

Service Code	APR-DRG 4402
Min. Negotiated Rate	$49,296.05
Max. Negotiated Rate	$67,723.47
Rate for Payer: Aetna Better Health Medicaid	$66,395.56
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$67,723.47
Rate for Payer: Wellpoint Medicaid Managed Care	$49,296.05

KIDNEY TRANSPLANT

Facility

$77,027.53

Service Code	APR-DRG 4403
Min. Negotiated Rate	$55,742.56
Max. Negotiated Rate	$77,027.53
Rate for Payer: Aetna Better Health Medicaid	$75,517.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$77,027.53
Rate for Payer: Wellpoint Medicaid Managed Care	$55,742.56

KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC

Facility

$158,530.66

Service Code	MSDRG 650
Min. Negotiated Rate	$46,956.54
Max. Negotiated Rate	$158,530.66
Rate for Payer: Aetna Commercial	$158,530.66
Rate for Payer: Aetna Medicare Advantage	$51,304.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124,051.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124,051.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$49,427.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124,051.50
Rate for Payer: Cigna Commercial	$101,178.83
Rate for Payer: Cigna Medicare Advantage	$49,427.94
Rate for Payer: Clover Medicare Advantage	$46,956.54
Rate for Payer: EmblemHealth Commercial	$148,283.82
Rate for Payer: Humana Medicare Advantage	$50,910.78
Rate for Payer: Oxford Commercial	$63,233.83
Rate for Payer: UnitedHealthcare Commercial	$71,776.27
Rate for Payer: UnitedHealthcare Medicare Advantage	$49,427.94
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$52,393.62
Rate for Payer: Wellcare Medicare Advantage	$49,427.94

KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC

Facility

$124,959.14

Service Code	MSDRG 651
Min. Negotiated Rate	$37,805.51
Max. Negotiated Rate	$124,959.14
Rate for Payer: Aetna Commercial	$124,959.14
Rate for Payer: Aetna Medicare Advantage	$40,439.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95,381.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95,381.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$39,795.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95,381.82
Rate for Payer: Cigna Commercial	$79,752.52
Rate for Payer: Cigna Medicare Advantage	$39,795.27
Rate for Payer: Clover Medicare Advantage	$37,805.51
Rate for Payer: EmblemHealth Commercial	$119,385.81
Rate for Payer: Humana Medicare Advantage	$40,989.13
Rate for Payer: Oxford Commercial	$49,843.01
Rate for Payer: UnitedHealthcare Commercial	$56,576.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$39,795.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$42,182.99
Rate for Payer: Wellcare Medicare Advantage	$39,795.27

KINESIO TAPE

Facility

$4.95

Hospital Charge Code	270667804
Hospital Revenue Code	270
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$2.48
Rate for Payer: Aetna Commercial	$1.49
Rate for Payer: Aetna Medicare Advantage	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.26
Rate for Payer: Cigna Commercial	$2.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.64
Rate for Payer: Oxford Commercial	$2.48
Rate for Payer: Qualcare PPO/HMO/WC	$0.74
Rate for Payer: UnitedHealthcare Commercial	$2.48

KINESIO TAPE

Facility

$4.95

Hospital Charge Code	270667804
Hospital Revenue Code	270
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$0.74
Rate for Payer: Qualcare PPO/HMO/WC	$0.74

KINESIO TEX TAPE BLACK 2X92'

Facility

$272.40

Hospital Charge Code	270663152
Hospital Revenue Code	270
Min. Negotiated Rate	$40.86
Max. Negotiated Rate	$40.86
Rate for Payer: Qualcare PPO/HMO/WC	$40.86

KINESIO TEX TAPE BLACK 2X92'

Facility

$272.40

Hospital Charge Code	270663152
Hospital Revenue Code	270
Min. Negotiated Rate	$35.41
Max. Negotiated Rate	$136.20
Rate for Payer: Aetna Commercial	$81.72
Rate for Payer: Aetna Medicare Advantage	$81.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.46
Rate for Payer: Cigna Commercial	$136.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.41
Rate for Payer: Oxford Commercial	$136.20
Rate for Payer: Qualcare PPO/HMO/WC	$40.86
Rate for Payer: UnitedHealthcare Commercial	$136.20

KINEVAC 5 MCG IV

Facility

$427.00

Hospital Charge Code	2008080
Hospital Revenue Code	636
Min. Negotiated Rate	$64.05
Max. Negotiated Rate	$213.50
Rate for Payer: Aetna Commercial	$128.10
Rate for Payer: Aetna Medicare Advantage	$128.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.89
Rate for Payer: Cigna Commercial	$213.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.33
Rate for Payer: Qualcare PPO/HMO/WC	$64.05

KINEVAC 5 MCG IV

Facility

$427.00

Hospital Charge Code	2008080
Hospital Revenue Code	636
Min. Negotiated Rate	$64.05
Max. Negotiated Rate	$103.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.33
Rate for Payer: Qualcare PPO/HMO/WC	$64.05

KINEX GEL 5ML BONE VOID FILLER

Facility

$10,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270695459
Hospital Revenue Code	278
Min. Negotiated Rate	$1,627.50
Max. Negotiated Rate	$5,425.00
Rate for Payer: Aetna Commercial	$3,255.00
Rate for Payer: Aetna Medicare Advantage	$3,255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,766.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,766.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,766.75
Rate for Payer: Cigna Commercial	$5,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,625.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.50

KINEX GEL 5ML BONE VOID FILLER

Facility

$10,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270695459
Hospital Revenue Code	278
Min. Negotiated Rate	$1,627.50
Max. Negotiated Rate	$2,625.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,625.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.50

KINEX PLUS BLOACTIVE GEL 5CC

Facility

$10,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270659459
Hospital Revenue Code	278
Min. Negotiated Rate	$1,627.50
Max. Negotiated Rate	$2,625.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,625.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.50

KINEX PLUS BLOACTIVE GEL 5CC

Facility

$10,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270659459
Hospital Revenue Code	278
Min. Negotiated Rate	$1,627.50
Max. Negotiated Rate	$5,425.00
Rate for Payer: Aetna Commercial	$3,255.00
Rate for Payer: Aetna Medicare Advantage	$3,255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,766.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,766.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,766.75
Rate for Payer: Cigna Commercial	$5,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,625.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.50

KING BREATHING KIT

Facility

$39.50

Hospital Charge Code	270654292
Hospital Revenue Code	272
Min. Negotiated Rate	$5.13
Max. Negotiated Rate	$19.75
Rate for Payer: Aetna Commercial	$11.85
Rate for Payer: Aetna Medicare Advantage	$11.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.07
Rate for Payer: Cigna Commercial	$19.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.13
Rate for Payer: Oxford Commercial	$19.75
Rate for Payer: Qualcare PPO/HMO/WC	$5.92
Rate for Payer: UnitedHealthcare Commercial	$19.75

KING BREATHING KIT

Facility

$39.50

Hospital Charge Code	270654292
Hospital Revenue Code	272
Min. Negotiated Rate	$5.92
Max. Negotiated Rate	$5.92
Rate for Payer: Qualcare PPO/HMO/WC	$5.92

KINGFISHER SUTURE RETRIEVER

Facility

$7,475.00

Hospital Charge Code	270656523
Hospital Revenue Code	271
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,121.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

Know your out-of-pocket cost for care.

All Charges