Heights University Hospital

All Charges

Charge

Type

Setting

Price

MAJOR HEAD AND NECK PROCEDURES WITH MCC

Facility

$143,825.41

Service Code	MSDRG 140
Min. Negotiated Rate	$42,948.14
Max. Negotiated Rate	$143,825.41
Rate for Payer: Aetna Commercial	$143,825.41
Rate for Payer: Aetna Medicare Advantage	$46,545.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104,203.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104,203.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$45,208.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104,203.26
Rate for Payer: Cigna Commercial	$91,793.52
Rate for Payer: Cigna Medicare Advantage	$45,208.57
Rate for Payer: Clover Medicare Advantage	$42,948.14
Rate for Payer: EmblemHealth Commercial	$135,625.71
Rate for Payer: Humana Medicare Advantage	$46,564.83
Rate for Payer: Oxford Commercial	$57,368.29
Rate for Payer: UnitedHealthcare Commercial	$65,118.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$45,208.57
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$47,921.08
Rate for Payer: Wellcare Medicare Advantage	$45,208.57

MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC

Facility

$58,158.90

Service Code	MSDRG 142
Min. Negotiated Rate	$17,420.85
Max. Negotiated Rate	$58,158.90
Rate for Payer: Aetna Commercial	$53,830.43
Rate for Payer: Aetna Medicare Advantage	$17,420.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42,728.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42,728.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,386.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42,728.85
Rate for Payer: Cigna Commercial	$34,356.12
Rate for Payer: Cigna Medicare Advantage	$19,386.30
Rate for Payer: Clover Medicare Advantage	$18,416.99
Rate for Payer: EmblemHealth Commercial	$58,158.90
Rate for Payer: Humana Medicare Advantage	$19,967.89
Rate for Payer: Oxford Commercial	$21,471.58
Rate for Payer: UnitedHealthcare Commercial	$24,372.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,386.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,549.48
Rate for Payer: Wellcare Medicare Advantage	$19,386.30

MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC

Facility

$48,565.89

Service Code	MSDRG 809
Min. Negotiated Rate	$13,814.24
Max. Negotiated Rate	$48,565.89
Rate for Payer: Aetna Commercial	$42,686.00
Rate for Payer: Aetna Medicare Advantage	$13,814.24
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	$16,188.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,080.40
Rate for Payer: Cigna Commercial	$27,243.43
Rate for Payer: Cigna Medicare Advantage	$16,188.63
Rate for Payer: Clover Medicare Advantage	$15,379.20
Rate for Payer: EmblemHealth Commercial	$48,565.89
Rate for Payer: Humana Medicare Advantage	$16,674.29
Rate for Payer: Oxford Commercial	$17,026.35
Rate for Payer: UnitedHealthcare Commercial	$19,326.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,188.63
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17,159.95
Rate for Payer: Wellcare Medicare Advantage	$16,188.63

MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC

Facility

$75,908.16

Service Code	MSDRG 808
Min. Negotiated Rate	$24,037.58
Max. Negotiated Rate	$75,908.16
Rate for Payer: Cigna Commercial	$47,516.22
Rate for Payer: Aetna Commercial	$74,450.12
Rate for Payer: Aetna Medicare Advantage	$24,093.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60,371.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60,371.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25,302.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60,371.73
Rate for Payer: Cigna Medicare Advantage	$25,302.72
Rate for Payer: Clover Medicare Advantage	$24,037.58
Rate for Payer: EmblemHealth Commercial	$75,908.16
Rate for Payer: Humana Medicare Advantage	$26,061.80
Rate for Payer: Oxford Commercial	$29,696.26
Rate for Payer: UnitedHealthcare Commercial	$33,708.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$25,302.72
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$26,820.88
Rate for Payer: Wellcare Medicare Advantage	$25,302.72

MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC

Facility

$42,200.55

Service Code	MSDRG 810
Min. Negotiated Rate	$11,421.11
Max. Negotiated Rate	$42,200.55
Rate for Payer: Aetna Commercial	$35,291.23
Rate for Payer: Aetna Medicare Advantage	$11,421.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,567.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,567.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,066.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,567.00
Rate for Payer: Cigna Commercial	$22,523.88
Rate for Payer: Cigna Medicare Advantage	$14,066.85
Rate for Payer: Clover Medicare Advantage	$13,363.51
Rate for Payer: EmblemHealth Commercial	$42,200.55
Rate for Payer: Humana Medicare Advantage	$14,488.86
Rate for Payer: Oxford Commercial	$14,076.77
Rate for Payer: UnitedHealthcare Commercial	$15,978.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,066.85
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,910.86
Rate for Payer: Wellcare Medicare Advantage	$14,066.85

MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$15,056.40

Service Code	APR-DRG 6603
Min. Negotiated Rate	$12,469.65
Max. Negotiated Rate	$15,056.40
Rate for Payer: Aetna Better Health Medicaid	$14,761.18
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,056.40
Rate for Payer: Wellpoint Medicaid Managed Care	$12,469.65

MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$9,865.76

Service Code	APR-DRG 6602
Min. Negotiated Rate	$7,755.99
Max. Negotiated Rate	$9,865.76
Rate for Payer: Aetna Better Health Medicaid	$9,672.31
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,865.76
Rate for Payer: Wellpoint Medicaid Managed Care	$7,755.99

MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$32,399.21

Service Code	APR-DRG 6604
Min. Negotiated Rate	$31,069.85
Max. Negotiated Rate	$32,399.21
Rate for Payer: Aetna Better Health Medicaid	$31,069.85
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,691.25
Rate for Payer: Wellpoint Medicaid Managed Care	$32,399.21

MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$8,399.57

Service Code	APR-DRG 6601
Min. Negotiated Rate	$7,265.41
Max. Negotiated Rate	$8,399.57
Rate for Payer: Aetna Better Health Medicaid	$8,234.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,399.57
Rate for Payer: Wellpoint Medicaid Managed Care	$7,265.41

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT

Facility

$102,279.15

Service Code	MSDRG 469
Min. Negotiated Rate	$31,623.31
Max. Negotiated Rate	$102,279.15
Rate for Payer: Aetna Commercial	$102,279.15
Rate for Payer: Aetna Medicare Advantage	$33,100.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91,798.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91,798.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33,287.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91,798.11
Rate for Payer: Cigna Commercial	$65,277.50
Rate for Payer: Cigna Medicare Advantage	$33,287.70
Rate for Payer: Clover Medicare Advantage	$31,623.31
Rate for Payer: EmblemHealth Commercial	$99,863.10
Rate for Payer: Humana Medicare Advantage	$34,286.33
Rate for Payer: Oxford Commercial	$40,796.54
Rate for Payer: UnitedHealthcare Commercial	$46,307.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$33,287.70
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$35,284.96
Rate for Payer: Wellcare Medicare Advantage	$33,287.70

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

Facility

$67,809.96

Service Code	MSDRG 470
Min. Negotiated Rate	$21,049.28
Max. Negotiated Rate	$67,809.96
Rate for Payer: Aetna Commercial	$65,042.28
Rate for Payer: Aetna Medicare Advantage	$21,049.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51,825.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51,825.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,603.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51,825.96
Rate for Payer: Cigna Commercial	$41,511.86
Rate for Payer: Cigna Medicare Advantage	$22,603.32
Rate for Payer: Clover Medicare Advantage	$21,473.15
Rate for Payer: EmblemHealth Commercial	$67,809.96
Rate for Payer: Humana Medicare Advantage	$23,281.42
Rate for Payer: Oxford Commercial	$25,943.71
Rate for Payer: UnitedHealthcare Commercial	$29,448.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,603.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23,959.52
Rate for Payer: Wellcare Medicare Advantage	$22,603.32

MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES

Facility

$93,468.14

Service Code	MSDRG 483
Min. Negotiated Rate	$29,221.58
Max. Negotiated Rate	$93,468.14
Rate for Payer: Aetna Commercial	$93,468.14
Rate for Payer: Aetna Medicare Advantage	$30,248.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68,366.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68,366.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$30,759.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68,366.16
Rate for Payer: Cigna Commercial	$59,654.06
Rate for Payer: Cigna Medicare Advantage	$30,759.56
Rate for Payer: Clover Medicare Advantage	$29,221.58
Rate for Payer: EmblemHealth Commercial	$92,278.68
Rate for Payer: Humana Medicare Advantage	$31,682.35
Rate for Payer: Oxford Commercial	$37,282.06
Rate for Payer: UnitedHealthcare Commercial	$42,318.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$30,759.56
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$32,605.13
Rate for Payer: Wellcare Medicare Advantage	$30,759.56

MAJOR LARGE BOWEL PROCEDURES

Facility

$35,603.89

Service Code	APR-DRG 2313
Min. Negotiated Rate	$34,905.77
Max. Negotiated Rate	$35,603.89
Rate for Payer: Aetna Better Health Medicaid	$34,905.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$35,603.89

MAJOR LARGE BOWEL PROCEDURES

Facility

$25,384.20

Service Code	APR-DRG 2312
Min. Negotiated Rate	$24,886.47
Max. Negotiated Rate	$25,384.20
Rate for Payer: Aetna Better Health Medicaid	$24,886.47
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,384.20

MAJOR LARGE BOWEL PROCEDURES

Facility

$57,088.11

Service Code	APR-DRG 2314
Min. Negotiated Rate	$55,968.74
Max. Negotiated Rate	$57,088.11
Rate for Payer: Aetna Better Health Medicaid	$55,968.74
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$57,088.11

MAJOR LARGE BOWEL PROCEDURES

Facility

$20,769.36

Service Code	APR-DRG 2311
Min. Negotiated Rate	$20,362.12
Max. Negotiated Rate	$20,769.36
Rate for Payer: Aetna Better Health Medicaid	$20,362.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,769.36

MAJOR MALE PELVIC PROCEDURES WITH CC/MCC

Facility

$69,882.42

Service Code	MSDRG 707
Min. Negotiated Rate	$21,828.44
Max. Negotiated Rate	$69,882.42
Rate for Payer: Aetna Commercial	$67,449.88
Rate for Payer: Aetna Medicare Advantage	$21,828.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54,031.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54,031.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,294.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54,031.32
Rate for Payer: Cigna Commercial	$43,048.46
Rate for Payer: Cigna Medicare Advantage	$23,294.14
Rate for Payer: Clover Medicare Advantage	$22,129.43
Rate for Payer: EmblemHealth Commercial	$69,882.42
Rate for Payer: Humana Medicare Advantage	$23,992.96
Rate for Payer: Oxford Commercial	$26,904.03
Rate for Payer: UnitedHealthcare Commercial	$30,538.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,294.14
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$24,691.79
Rate for Payer: Wellcare Medicare Advantage	$23,294.14

MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC

Facility

$56,353.50

Service Code	MSDRG 708
Min. Negotiated Rate	$16,742.08
Max. Negotiated Rate	$56,353.50
Rate for Payer: Aetna Commercial	$51,733.03
Rate for Payer: Aetna Medicare Advantage	$16,742.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40,247.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40,247.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,784.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40,247.82
Rate for Payer: Cigna Commercial	$33,017.52
Rate for Payer: Cigna Medicare Advantage	$18,784.50
Rate for Payer: Clover Medicare Advantage	$17,845.28
Rate for Payer: EmblemHealth Commercial	$56,353.50
Rate for Payer: Humana Medicare Advantage	$19,348.03
Rate for Payer: Oxford Commercial	$20,634.99
Rate for Payer: UnitedHealthcare Commercial	$23,422.63
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,784.50
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,911.57
Rate for Payer: Wellcare Medicare Advantage	$18,784.50

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$28,115.73

Service Code	APR-DRG 6802
Min. Negotiated Rate	$19,973.90
Max. Negotiated Rate	$28,115.73
Rate for Payer: Aetna Better Health Medicaid	$27,564.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,115.73
Rate for Payer: Wellpoint Medicaid Managed Care	$19,973.90

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$21,307.26

Service Code	APR-DRG 6801
Min. Negotiated Rate	$14,523.56
Max. Negotiated Rate	$21,307.26
Rate for Payer: Aetna Better Health Medicaid	$20,889.47
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,307.26
Rate for Payer: Wellpoint Medicaid Managed Care	$14,523.56

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$89,006.84

Service Code	APR-DRG 6804
Min. Negotiated Rate	$69,007.33
Max. Negotiated Rate	$89,006.84
Rate for Payer: Aetna Better Health Medicaid	$87,261.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$89,006.84
Rate for Payer: Wellpoint Medicaid Managed Care	$69,007.33

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$44,502.04

Service Code	APR-DRG 6803
Min. Negotiated Rate	$34,500.31
Max. Negotiated Rate	$44,502.04
Rate for Payer: Aetna Better Health Medicaid	$43,629.45
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$44,502.04
Rate for Payer: Wellpoint Medicaid Managed Care	$34,500.31

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$41,321.15

Service Code	APR-DRG 2603
Min. Negotiated Rate	$31,516.96
Max. Negotiated Rate	$41,321.15
Rate for Payer: Aetna Better Health Medicaid	$40,510.93
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$41,321.15
Rate for Payer: Wellpoint Medicaid Managed Care	$31,516.96

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$30,716.66

Service Code	APR-DRG 2602
Min. Negotiated Rate	$20,080.80
Max. Negotiated Rate	$30,716.66
Rate for Payer: Aetna Better Health Medicaid	$30,114.37
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$30,716.66
Rate for Payer: Wellpoint Medicaid Managed Care	$20,080.80

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$75,677.89

Service Code	APR-DRG 2604
Min. Negotiated Rate	$63,842.30
Max. Negotiated Rate	$75,677.89
Rate for Payer: Aetna Better Health Medicaid	$74,194.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$75,677.89
Rate for Payer: Wellpoint Medicaid Managed Care	$63,842.30

Know your out-of-pocket cost for care.

All Charges