Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

MAJOR PROCEDURE KIT

Facility

$230.00

Hospital Charge Code	270338744
Hospital Revenue Code	272
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

MAJOR PROCEDURE KIT

Facility

$230.00

Hospital Charge Code	270338744
Hospital Revenue Code	272
Min. Negotiated Rate	$29.90
Max. Negotiated Rate	$115.00
Rate for Payer: Aetna Commercial	$69.00
Rate for Payer: Aetna Medicare Advantage	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.65
Rate for Payer: Cigna Commercial	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.90
Rate for Payer: Oxford Commercial	$115.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.50
Rate for Payer: UnitedHealthcare Commercial	$115.00

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$77,646.81

Service Code	APR-DRG 1204
Min. Negotiated Rate	$52,610.02
Max. Negotiated Rate	$77,646.81
Rate for Payer: Aetna Better Health Medicaid	$76,124.32
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$77,646.81
Rate for Payer: Wellpoint Medicaid Managed Care	$52,610.02

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$31,063.53

Service Code	APR-DRG 1202
Min. Negotiated Rate	$20,951.37
Max. Negotiated Rate	$31,063.53
Rate for Payer: Aetna Better Health Medicaid	$30,454.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,063.53
Rate for Payer: Wellpoint Medicaid Managed Care	$20,951.37

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$43,618.66

Service Code	APR-DRG 1203
Min. Negotiated Rate	$30,508.94
Max. Negotiated Rate	$43,618.66
Rate for Payer: Aetna Better Health Medicaid	$42,763.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$43,618.66
Rate for Payer: Wellpoint Medicaid Managed Care	$30,508.94

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$25,593.41

Service Code	APR-DRG 1201
Min. Negotiated Rate	$17,297.10
Max. Negotiated Rate	$25,593.41
Rate for Payer: Aetna Better Health Medicaid	$25,091.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,593.41
Rate for Payer: Wellpoint Medicaid Managed Care	$17,297.10

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$12,713.83

Service Code	APR-DRG 1373
Min. Negotiated Rate	$11,710.09
Max. Negotiated Rate	$12,713.83
Rate for Payer: Aetna Better Health Medicaid	$12,464.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,713.83
Rate for Payer: Wellpoint Medicaid Managed Care	$11,710.09

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$8,315.35

Service Code	APR-DRG 1371
Min. Negotiated Rate	$6,101.30
Max. Negotiated Rate	$8,315.35
Rate for Payer: Aetna Better Health Medicaid	$8,152.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,315.35
Rate for Payer: Wellpoint Medicaid Managed Care	$6,101.30

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$10,590.45

Service Code	APR-DRG 1372
Min. Negotiated Rate	$7,883.70
Max. Negotiated Rate	$10,590.45
Rate for Payer: Aetna Better Health Medicaid	$10,382.79
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,590.45
Rate for Payer: Wellpoint Medicaid Managed Care	$7,883.70

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$23,691.91

Service Code	APR-DRG 1374
Min. Negotiated Rate	$19,825.14
Max. Negotiated Rate	$23,691.91
Rate for Payer: Aetna Better Health Medicaid	$23,227.36
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,691.91
Rate for Payer: Wellpoint Medicaid Managed Care	$19,825.14

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC

Facility

$64,254.33

Service Code	MSDRG 507
Min. Negotiated Rate	$19,712.49
Max. Negotiated Rate	$64,254.33
Rate for Payer: Aetna Commercial	$60,911.59
Rate for Payer: Aetna Medicare Advantage	$19,712.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58,717.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58,717.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,418.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58,717.71
Rate for Payer: Cigna Commercial	$38,875.53
Rate for Payer: Cigna Medicare Advantage	$21,418.11
Rate for Payer: Clover Medicare Advantage	$20,347.20
Rate for Payer: EmblemHealth Commercial	$64,254.33
Rate for Payer: Humana Medicare Advantage	$22,060.65
Rate for Payer: Oxford Commercial	$24,296.08
Rate for Payer: UnitedHealthcare Commercial	$27,578.31
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,418.11
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,703.20
Rate for Payer: Wellcare Medicare Advantage	$21,418.11

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC

Facility

$55,778.79

Service Code	MSDRG 508
Min. Negotiated Rate	$16,526.02
Max. Negotiated Rate	$55,778.79
Rate for Payer: Aetna Commercial	$51,065.40
Rate for Payer: Aetna Medicare Advantage	$16,526.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39,420.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39,420.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,592.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39,420.81
Rate for Payer: Cigna Commercial	$32,591.40
Rate for Payer: Cigna Medicare Advantage	$18,592.93
Rate for Payer: Clover Medicare Advantage	$17,663.28
Rate for Payer: EmblemHealth Commercial	$55,778.79
Rate for Payer: Humana Medicare Advantage	$19,150.72
Rate for Payer: Oxford Commercial	$20,368.68
Rate for Payer: UnitedHealthcare Commercial	$23,120.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,592.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,708.51
Rate for Payer: Wellcare Medicare Advantage	$18,592.93

MAJOR SKIN DISORDERS

Facility

$15,899.02

Service Code	APR-DRG 3813
Min. Negotiated Rate	$13,769.75
Max. Negotiated Rate	$15,899.02
Rate for Payer: Aetna Better Health Medicaid	$15,587.27
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,899.02
Rate for Payer: Wellpoint Medicaid Managed Care	$13,769.75

MAJOR SKIN DISORDERS

Facility

$8,288.63

Service Code	APR-DRG 3812
Min. Negotiated Rate	$7,629.25
Max. Negotiated Rate	$8,288.63
Rate for Payer: Aetna Better Health Medicaid	$8,126.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,288.63
Rate for Payer: Wellpoint Medicaid Managed Care	$7,629.25

MAJOR SKIN DISORDERS

Facility

$5,103.51

Service Code	APR-DRG 3811
Min. Negotiated Rate	$4,329.01
Max. Negotiated Rate	$5,103.51
Rate for Payer: Aetna Better Health Medicaid	$5,003.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,103.51
Rate for Payer: Wellpoint Medicaid Managed Care	$4,329.01

MAJOR SKIN DISORDERS

Facility

$37,232.71

Service Code	APR-DRG 3814
Min. Negotiated Rate	$32,393.03
Max. Negotiated Rate	$37,232.71
Rate for Payer: Aetna Better Health Medicaid	$32,393.03
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$33,040.89
Rate for Payer: Wellpoint Medicaid Managed Care	$37,232.71

MAJOR SKIN DISORDERS WITH MCC

Facility

$73,377.12

Service Code	MSDRG 595
Min. Negotiated Rate	$23,142.31
Max. Negotiated Rate	$73,377.12
Rate for Payer: Aetna Commercial	$71,509.74
Rate for Payer: Aetna Medicare Advantage	$23,142.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60,096.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60,096.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,459.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60,096.06
Rate for Payer: Cigna Commercial	$45,639.58
Rate for Payer: Cigna Medicare Advantage	$24,459.04
Rate for Payer: Clover Medicare Advantage	$23,236.09
Rate for Payer: EmblemHealth Commercial	$73,377.12
Rate for Payer: Humana Medicare Advantage	$25,192.81
Rate for Payer: Oxford Commercial	$28,523.42
Rate for Payer: UnitedHealthcare Commercial	$32,376.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,459.04
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25,926.58
Rate for Payer: Wellcare Medicare Advantage	$24,459.04

MAJOR SKIN DISORDERS WITHOUT MCC

Facility

$43,242.57

Service Code	MSDRG 596
Min. Negotiated Rate	$11,812.87
Max. Negotiated Rate	$43,242.57
Rate for Payer: Aetna Commercial	$36,501.77
Rate for Payer: Aetna Medicare Advantage	$11,812.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,842.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,842.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,414.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,842.67
Rate for Payer: Cigna Commercial	$23,296.48
Rate for Payer: Cigna Medicare Advantage	$14,414.19
Rate for Payer: Clover Medicare Advantage	$13,693.48
Rate for Payer: EmblemHealth Commercial	$43,242.57
Rate for Payer: Humana Medicare Advantage	$14,846.62
Rate for Payer: Oxford Commercial	$14,559.62
Rate for Payer: UnitedHealthcare Commercial	$16,526.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,414.19
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,279.04
Rate for Payer: Wellcare Medicare Advantage	$14,414.19

MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC

Facility

$81,402.72

Service Code	MSDRG 330
Min. Negotiated Rate	$25,777.53
Max. Negotiated Rate	$81,402.72
Rate for Payer: Aetna Commercial	$80,833.29
Rate for Payer: Aetna Medicare Advantage	$26,159.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65,333.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65,333.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,134.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65,333.79
Rate for Payer: Cigna Commercial	$51,590.14
Rate for Payer: Cigna Medicare Advantage	$27,134.24
Rate for Payer: Clover Medicare Advantage	$25,777.53
Rate for Payer: EmblemHealth Commercial	$81,402.72
Rate for Payer: Humana Medicare Advantage	$27,948.27
Rate for Payer: Oxford Commercial	$32,242.34
Rate for Payer: UnitedHealthcare Commercial	$36,598.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,134.24
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$28,762.29
Rate for Payer: Wellcare Medicare Advantage	$27,134.24

MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC

Facility

$154,993.44

Service Code	MSDRG 329
Min. Negotiated Rate	$45,992.36
Max. Negotiated Rate	$154,993.44
Rate for Payer: Aetna Commercial	$154,993.44
Rate for Payer: Aetna Medicare Advantage	$50,159.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124,602.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124,602.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$48,413.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124,602.84
Rate for Payer: Cigna Commercial	$98,921.28
Rate for Payer: Cigna Medicare Advantage	$48,413.01
Rate for Payer: Clover Medicare Advantage	$45,992.36
Rate for Payer: EmblemHealth Commercial	$145,239.03
Rate for Payer: Humana Medicare Advantage	$49,865.40
Rate for Payer: Oxford Commercial	$61,822.93
Rate for Payer: UnitedHealthcare Commercial	$70,174.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$48,413.01
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$51,317.79
Rate for Payer: Wellcare Medicare Advantage	$48,413.01

MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC

Facility

$60,669.63

Service Code	MSDRG 331
Min. Negotiated Rate	$18,364.79
Max. Negotiated Rate	$60,669.63
Rate for Payer: Aetna Commercial	$56,747.20
Rate for Payer: Aetna Medicare Advantage	$18,364.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46,036.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46,036.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,223.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46,036.89
Rate for Payer: Cigna Commercial	$36,217.69
Rate for Payer: Cigna Medicare Advantage	$20,223.21
Rate for Payer: Clover Medicare Advantage	$19,212.05
Rate for Payer: EmblemHealth Commercial	$60,669.63
Rate for Payer: Humana Medicare Advantage	$20,829.91
Rate for Payer: Oxford Commercial	$22,635.01
Rate for Payer: UnitedHealthcare Commercial	$25,692.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,223.21
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,436.60
Rate for Payer: Wellcare Medicare Advantage	$20,223.21

MAJOR SMALL BOWEL PROCEDURES

Facility

$35,977.40

Service Code	APR-DRG 2303
Min. Negotiated Rate	$35,271.96
Max. Negotiated Rate	$35,977.40
Rate for Payer: Aetna Better Health Medicaid	$35,271.96
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$35,977.40

MAJOR SMALL BOWEL PROCEDURES

Facility

$64,157.78

Service Code	APR-DRG 2304
Min. Negotiated Rate	$62,899.78
Max. Negotiated Rate	$64,157.78
Rate for Payer: Aetna Better Health Medicaid	$62,899.78
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$64,157.78

MAJOR SMALL BOWEL PROCEDURES

Facility

$24,752.26

Service Code	APR-DRG 2302
Min. Negotiated Rate	$24,266.92
Max. Negotiated Rate	$24,752.26
Rate for Payer: Aetna Better Health Medicaid	$24,266.92
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,752.26

Know your out-of-pocket cost for care.

All Charges