Heights University Hospital

All Charges

Charge

Type

Setting

Price

MAJOR (3-10 BLOCKS)

Facility

$500.00

Service Code	HCPCS 88309
Hospital Charge Code	3004983
Hospital Revenue Code	312
Min. Negotiated Rate	$65.00
Max. Negotiated Rate	$1,918.64
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$1,918.64
Rate for Payer: Cigna Medicare Advantage	$235.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$114.00

MAJOR (3-10 BLOCKS)

Facility

$500.00

Service Code	HCPCS 88309
Hospital Charge Code	3004983
Hospital Revenue Code	312
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$80,864.24

Service Code	APR-DRG 1694
Min. Negotiated Rate	$62,821.21
Max. Negotiated Rate	$80,864.24
Rate for Payer: Aetna Better Health Medicaid	$79,278.67
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$80,864.24
Rate for Payer: Wellpoint Medicaid Managed Care	$62,821.21

MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$39,255.26

Service Code	APR-DRG 1691
Min. Negotiated Rate	$16,143.22
Max. Negotiated Rate	$39,255.26
Rate for Payer: Aetna Better Health Medicaid	$38,485.55
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$39,255.26
Rate for Payer: Wellpoint Medicaid Managed Care	$16,143.22

MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$39,989.77

Service Code	APR-DRG 1692
Min. Negotiated Rate	$21,332.15
Max. Negotiated Rate	$39,989.77
Rate for Payer: Aetna Better Health Medicaid	$39,205.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$39,989.77
Rate for Payer: Wellpoint Medicaid Managed Care	$21,332.15

MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$51,507.05

Service Code	APR-DRG 1693
Min. Negotiated Rate	$34,565.34
Max. Negotiated Rate	$51,507.05
Rate for Payer: Aetna Better Health Medicaid	$50,497.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$51,507.05
Rate for Payer: Wellpoint Medicaid Managed Care	$34,565.34

MAJOR BILIARY TRACT PROCEDURES

Facility

$20,082.68

Service Code	APR-DRG 2611
Min. Negotiated Rate	$12,638.26
Max. Negotiated Rate	$20,082.68
Rate for Payer: Aetna Better Health Medicaid	$19,688.90
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,082.68
Rate for Payer: Wellpoint Medicaid Managed Care	$12,638.26

MAJOR BILIARY TRACT PROCEDURES

Facility

$68,851.22

Service Code	APR-DRG 2614
Min. Negotiated Rate	$48,855.62
Max. Negotiated Rate	$68,851.22
Rate for Payer: Aetna Better Health Medicaid	$67,501.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$68,851.22
Rate for Payer: Wellpoint Medicaid Managed Care	$48,855.62

MAJOR BILIARY TRACT PROCEDURES

Facility

$25,666.50

Service Code	APR-DRG 2612
Min. Negotiated Rate	$17,584.95
Max. Negotiated Rate	$25,666.50
Rate for Payer: Aetna Better Health Medicaid	$25,163.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,666.50
Rate for Payer: Wellpoint Medicaid Managed Care	$17,584.95

MAJOR BILIARY TRACT PROCEDURES

Facility

$35,349.68

Service Code	APR-DRG 2613
Min. Negotiated Rate	$26,592.89
Max. Negotiated Rate	$35,349.68
Rate for Payer: Aetna Better Health Medicaid	$34,656.55
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$35,349.68
Rate for Payer: Wellpoint Medicaid Managed Care	$26,592.89

MAJOR BLADDER PROCEDURES

Facility

$40,550.09

Service Code	APR-DRG 4413
Min. Negotiated Rate	$29,288.57
Max. Negotiated Rate	$40,550.09
Rate for Payer: Aetna Better Health Medicaid	$39,754.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$40,550.09
Rate for Payer: Wellpoint Medicaid Managed Care	$29,288.57

MAJOR BLADDER PROCEDURES

Facility

$73,225.83

Service Code	APR-DRG 4414
Min. Negotiated Rate	$58,948.42
Max. Negotiated Rate	$73,225.83
Rate for Payer: Aetna Better Health Medicaid	$71,790.03
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$73,225.83
Rate for Payer: Wellpoint Medicaid Managed Care	$58,948.42

MAJOR BLADDER PROCEDURES

Facility

$19,390.32

Service Code	APR-DRG 4411
Min. Negotiated Rate	$13,892.20
Max. Negotiated Rate	$19,390.32
Rate for Payer: Aetna Better Health Medicaid	$19,010.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,390.32
Rate for Payer: Wellpoint Medicaid Managed Care	$13,892.20

MAJOR BLADDER PROCEDURES

Facility

$31,150.60

Service Code	APR-DRG 4412
Min. Negotiated Rate	$21,533.55
Max. Negotiated Rate	$31,150.60
Rate for Payer: Aetna Better Health Medicaid	$30,539.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,150.60
Rate for Payer: Wellpoint Medicaid Managed Care	$21,533.55

MAJOR BLADDER PROCEDURES WITH CC

Facility

$94,392.05

Service Code	MSDRG 654
Min. Negotiated Rate	$29,473.43
Max. Negotiated Rate	$94,392.05
Rate for Payer: Aetna Commercial	$94,392.05
Rate for Payer: Aetna Medicare Advantage	$30,547.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75,533.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75,533.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$31,024.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75,533.58
Rate for Payer: Cigna Commercial	$60,243.74
Rate for Payer: Cigna Medicare Advantage	$31,024.66
Rate for Payer: Clover Medicare Advantage	$29,473.43
Rate for Payer: EmblemHealth Commercial	$93,073.98
Rate for Payer: Humana Medicare Advantage	$31,955.40
Rate for Payer: Oxford Commercial	$37,650.58
Rate for Payer: UnitedHealthcare Commercial	$42,736.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$31,024.66
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$32,886.14
Rate for Payer: Wellcare Medicare Advantage	$31,024.66

MAJOR BLADDER PROCEDURES WITH MCC

Facility

$175,222.00

Service Code	MSDRG 653
Min. Negotiated Rate	$51,506.33
Max. Negotiated Rate	$175,222.00
Rate for Payer: Aetna Commercial	$175,222.00
Rate for Payer: Aetna Medicare Advantage	$56,706.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149,137.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149,137.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$54,217.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149,137.47
Rate for Payer: Cigna Commercial	$111,831.72
Rate for Payer: Cigna Medicare Advantage	$54,217.19
Rate for Payer: Clover Medicare Advantage	$51,506.33
Rate for Payer: EmblemHealth Commercial	$162,651.57
Rate for Payer: Humana Medicare Advantage	$55,843.71
Rate for Payer: Oxford Commercial	$69,891.58
Rate for Payer: UnitedHealthcare Commercial	$79,333.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$54,217.19
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$57,470.22
Rate for Payer: Wellcare Medicare Advantage	$54,217.19

MAJOR BLADDER PROCEDURES WITHOUT CC/MCC

Facility

$73,258.11

Service Code	MSDRG 655
Min. Negotiated Rate	$23,097.57
Max. Negotiated Rate	$73,258.11
Rate for Payer: Aetna Commercial	$71,371.49
Rate for Payer: Aetna Medicare Advantage	$23,097.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58,166.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58,166.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,419.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58,166.37
Rate for Payer: Cigna Commercial	$45,551.35
Rate for Payer: Cigna Medicare Advantage	$24,419.37
Rate for Payer: Clover Medicare Advantage	$23,198.40
Rate for Payer: EmblemHealth Commercial	$73,258.11
Rate for Payer: Humana Medicare Advantage	$25,151.95
Rate for Payer: Oxford Commercial	$28,468.27
Rate for Payer: UnitedHealthcare Commercial	$32,314.13
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,419.37
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25,884.53
Rate for Payer: Wellcare Medicare Advantage	$24,419.37

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$72,230.13

Service Code	APR-DRG 1603
Min. Negotiated Rate	$51,139.07
Max. Negotiated Rate	$72,230.13
Rate for Payer: Aetna Better Health Medicaid	$70,813.85
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$72,230.13
Rate for Payer: Wellpoint Medicaid Managed Care	$51,139.07

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$152,920.24

Service Code	APR-DRG 1604
Min. Negotiated Rate	$113,888.35
Max. Negotiated Rate	$152,920.24
Rate for Payer: Aetna Better Health Medicaid	$149,921.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$152,920.24
Rate for Payer: Wellpoint Medicaid Managed Care	$113,888.35

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$46,763.08

Service Code	APR-DRG 1602
Min. Negotiated Rate	$33,774.27
Max. Negotiated Rate	$46,763.08
Rate for Payer: Aetna Better Health Medicaid	$45,846.16
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$46,763.08
Rate for Payer: Wellpoint Medicaid Managed Care	$33,774.27

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$39,367.58

Service Code	APR-DRG 1601
Min. Negotiated Rate	$28,950.14
Max. Negotiated Rate	$39,367.58
Rate for Payer: Aetna Better Health Medicaid	$38,595.67
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$39,367.58
Rate for Payer: Wellpoint Medicaid Managed Care	$28,950.14

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$9,627.06

Service Code	APR-DRG 1351
Min. Negotiated Rate	$6,517.35
Max. Negotiated Rate	$9,627.06
Rate for Payer: Aetna Better Health Medicaid	$9,438.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,627.06
Rate for Payer: Wellpoint Medicaid Managed Care	$6,517.35

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$27,886.78

Service Code	APR-DRG 1354
Min. Negotiated Rate	$22,494.86
Max. Negotiated Rate	$27,886.78
Rate for Payer: Aetna Better Health Medicaid	$27,339.98
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,886.78
Rate for Payer: Wellpoint Medicaid Managed Care	$22,494.86

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$11,010.33

Service Code	APR-DRG 1352
Min. Negotiated Rate	$8,171.55
Max. Negotiated Rate	$11,010.33
Rate for Payer: Aetna Better Health Medicaid	$10,794.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,010.33
Rate for Payer: Wellpoint Medicaid Managed Care	$8,171.55

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$15,964.97

Service Code	APR-DRG 1353
Min. Negotiated Rate	$11,926.19
Max. Negotiated Rate	$15,964.97
Rate for Payer: Aetna Better Health Medicaid	$15,651.93
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,964.97
Rate for Payer: Wellpoint Medicaid Managed Care	$11,926.19

Know your out-of-pocket cost for care.

All Charges