Heights University Hospital

All Charges

Charge

Type

Setting

Price

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 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$40,991.09

Service Code	APR-DRG 2203
Min. Negotiated Rate	$30,689.65
Max. Negotiated Rate	$40,991.09
Rate for Payer: Aetna Better Health Medicaid	$40,187.34
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$40,991.09
Rate for Payer: Wellpoint Medicaid Managed Care	$30,689.65

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$19,551.78

Service Code	APR-DRG 2201
Min. Negotiated Rate	$12,737.59
Max. Negotiated Rate	$19,551.78
Rate for Payer: Aetna Better Health Medicaid	$19,168.41
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,551.78
Rate for Payer: Wellpoint Medicaid Managed Care	$12,737.59

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$27,318.03

Service Code	APR-DRG 2202
Min. Negotiated Rate	$18,926.32
Max. Negotiated Rate	$27,318.03
Rate for Payer: Aetna Better Health Medicaid	$26,782.38
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,318.03
Rate for Payer: Wellpoint Medicaid Managed Care	$18,926.32

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$76,249.49

Service Code	APR-DRG 2204
Min. Negotiated Rate	$60,894.89
Max. Negotiated Rate	$76,249.49
Rate for Payer: Aetna Better Health Medicaid	$74,754.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$76,249.49
Rate for Payer: Wellpoint Medicaid Managed Care	$60,894.89

MAJOR THUMB OR JOINT PROCEDURES

Facility

$50,983.74

Service Code	MSDRG 506
Min. Negotiated Rate	$14,723.26
Max. Negotiated Rate	$50,983.74
Rate for Payer: Aetna Commercial	$45,494.87
Rate for Payer: Aetna Medicare Advantage	$14,723.26
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	$16,994.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40,247.82
Rate for Payer: Cigna Commercial	$25,816.59
Rate for Payer: Cigna Medicare Advantage	$16,994.58
Rate for Payer: Clover Medicare Advantage	$16,144.85
Rate for Payer: EmblemHealth Commercial	$50,983.74
Rate for Payer: Humana Medicare Advantage	$17,504.42
Rate for Payer: Oxford Commercial	$16,134.62
Rate for Payer: UnitedHealthcare Commercial	$18,314.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,994.58
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18,014.25
Rate for Payer: Wellcare Medicare Advantage	$16,994.58

MAKO BLADE SAGITTAL NARROW

Facility

$1,525.00

Hospital Charge Code	270690810
Hospital Revenue Code	272
Min. Negotiated Rate	$198.25
Max. Negotiated Rate	$762.50
Rate for Payer: Aetna Commercial	$457.50
Rate for Payer: Aetna Medicare Advantage	$457.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$388.88
Rate for Payer: Cigna Commercial	$762.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.25
Rate for Payer: Oxford Commercial	$762.50
Rate for Payer: Qualcare PPO/HMO/WC	$228.75
Rate for Payer: UnitedHealthcare Commercial	$762.50

MAKO BLADE SAGITTAL NARROW

Facility

$1,525.00

Hospital Charge Code	270690810
Hospital Revenue Code	272
Min. Negotiated Rate	$228.75
Max. Negotiated Rate	$228.75
Rate for Payer: Qualcare PPO/HMO/WC	$228.75

MAKO BLADE SAGITTAL ST

Facility

$1,525.00

Hospital Charge Code	270690809
Hospital Revenue Code	272
Min. Negotiated Rate	$198.25
Max. Negotiated Rate	$762.50
Rate for Payer: Aetna Commercial	$457.50
Rate for Payer: Aetna Medicare Advantage	$457.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$388.88
Rate for Payer: Cigna Commercial	$762.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.25
Rate for Payer: Oxford Commercial	$762.50
Rate for Payer: Qualcare PPO/HMO/WC	$228.75
Rate for Payer: UnitedHealthcare Commercial	$762.50

MAKO BLADE SAGITTAL ST

Facility

$1,525.00

Hospital Charge Code	270690809
Hospital Revenue Code	272
Min. Negotiated Rate	$228.75
Max. Negotiated Rate	$228.75
Rate for Payer: Qualcare PPO/HMO/WC	$228.75

MAKOPLASTY HIP CONSUMABLES

Facility

$5,150.00

Hospital Charge Code	270668072
Hospital Revenue Code	278
Min. Negotiated Rate	$772.50
Max. Negotiated Rate	$1,246.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,030.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,246.30
Rate for Payer: Qualcare PPO/HMO/WC	$772.50

MAKOPLASTY HIP CONSUMABLES

Facility

$5,150.00

Hospital Charge Code	270668072
Hospital Revenue Code	278
Min. Negotiated Rate	$772.50
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,545.00
Rate for Payer: Aetna Medicare Advantage	$1,545.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,313.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,313.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,313.25
Rate for Payer: Cigna Commercial	$2,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,246.30
Rate for Payer: Qualcare PPO/HMO/WC	$772.50

MAKO X3 UNI ONLAY TIBIAL INSER

Facility

$4,223.20

Service Code	HCPCS C1713
Hospital Charge Code	270704053
Hospital Revenue Code	278
Min. Negotiated Rate	$633.48
Max. Negotiated Rate	$1,022.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$844.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,022.01
Rate for Payer: Qualcare PPO/HMO/WC	$633.48

MAKO X3 UNI ONLAY TIBIAL INSER

Facility

$4,223.20

Service Code	HCPCS C1713
Hospital Charge Code	270704053
Hospital Revenue Code	278
Min. Negotiated Rate	$633.48
Max. Negotiated Rate	$2,111.60
Rate for Payer: Aetna Commercial	$1,266.96
Rate for Payer: Aetna Medicare Advantage	$1,266.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,076.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,076.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$844.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,076.92
Rate for Payer: Cigna Commercial	$2,111.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,022.01
Rate for Payer: Qualcare PPO/HMO/WC	$633.48

MAKO X3 UNI ONLAY TIBIAL INSER

Facility

$4,324.70

Service Code	HCPCS C1789
Hospital Charge Code	270706170
Hospital Revenue Code	278
Min. Negotiated Rate	$648.71
Max. Negotiated Rate	$2,162.35
Rate for Payer: Aetna Commercial	$1,297.41
Rate for Payer: Aetna Medicare Advantage	$1,297.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,102.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,102.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$864.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,102.80
Rate for Payer: Cigna Commercial	$2,162.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,046.58
Rate for Payer: Qualcare PPO/HMO/WC	$648.71

MAKO X3 UNI ONLAY TIBIAL INSER

Facility

$4,324.70

Service Code	HCPCS C1789
Hospital Charge Code	270706170
Hospital Revenue Code	278
Min. Negotiated Rate	$648.71
Max. Negotiated Rate	$1,046.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$864.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,046.58
Rate for Payer: Qualcare PPO/HMO/WC	$648.71

MALARIA SMEAR

Facility

$146.00

Service Code	HCPCS 87207
Hospital Charge Code	38473021
Hospital Revenue Code	309
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$19.41
Rate for Payer: Aetna Medicare Advantage	$5.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.95
Rate for Payer: Cigna Commercial	$5.99
Rate for Payer: Cigna Medicare Advantage	$3.00
Rate for Payer: Clover Medicare Advantage	$5.69
Rate for Payer: EmblemHealth Commercial	$17.97
Rate for Payer: Humana Medicare Advantage	$6.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.98
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.90
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.99
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.35
Rate for Payer: Wellcare Medicare Advantage	$5.99

MALARIA SMEAR

Facility

$146.00

Service Code	HCPCS 87207
Hospital Charge Code	38473021
Hospital Revenue Code	309
Min. Negotiated Rate	$21.90
Max. Negotiated Rate	$21.90
Rate for Payer: Qualcare PPO/HMO/WC	$21.90

MALARIA SMEAR

Facility

$133.65

Service Code	HCPCS 87207
Hospital Charge Code	3000189
Hospital Revenue Code	309
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$19.41
Rate for Payer: Aetna Medicare Advantage	$5.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.95
Rate for Payer: Cigna Commercial	$5.99
Rate for Payer: Cigna Medicare Advantage	$3.00
Rate for Payer: Clover Medicare Advantage	$5.69
Rate for Payer: EmblemHealth Commercial	$17.97
Rate for Payer: Humana Medicare Advantage	$6.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.37
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.05
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.99
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$6.35
Rate for Payer: Wellcare Medicare Advantage	$5.99

MALARIA SMEAR

Facility

$133.65

Service Code	HCPCS 87207
Hospital Charge Code	3000189
Hospital Revenue Code	309
Min. Negotiated Rate	$20.05
Max. Negotiated Rate	$20.05
Rate for Payer: Qualcare PPO/HMO/WC	$20.05

MALARIA SMEAR***

Facility

$39.00

Hospital Charge Code	3010188
Hospital Revenue Code	306
Min. Negotiated Rate	$5.07
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$11.70
Rate for Payer: Aetna Medicare Advantage	$11.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.95
Rate for Payer: Cigna Commercial	$19.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.07
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.85
Rate for Payer: UnitedHealthcare Commercial	$114.00

MALARIA SMEAR***

Facility

$39.00

Hospital Charge Code	3010188
Hospital Revenue Code	306
Min. Negotiated Rate	$5.85
Max. Negotiated Rate	$5.85
Rate for Payer: Qualcare PPO/HMO/WC	$5.85

MALARONE 250-100MG TAB

Facility

$54.14

Service Code	NDC 173067501
Hospital Charge Code	60635430
Hospital Revenue Code	250
Min. Negotiated Rate	$7.04
Max. Negotiated Rate	$27.07
Rate for Payer: Aetna Commercial	$16.24
Rate for Payer: Aetna Medicare Advantage	$16.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.81
Rate for Payer: Cigna Commercial	$27.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.04
Rate for Payer: Oxford Commercial	$27.07
Rate for Payer: Qualcare PPO/HMO/WC	$8.12
Rate for Payer: UnitedHealthcare Commercial	$27.07

MALARONE 250-100MG TAB

Facility

$54.14

Service Code	NDC 173067501
Hospital Charge Code	60635430
Hospital Revenue Code	250
Min. Negotiated Rate	$8.12
Max. Negotiated Rate	$8.12
Rate for Payer: Qualcare PPO/HMO/WC	$8.12

MALECOT NEPHROSTOMY ACCESSC

Facility

$379.00

Hospital Charge Code	270331740
Hospital Revenue Code	278
Min. Negotiated Rate	$56.85
Max. Negotiated Rate	$91.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.72
Rate for Payer: Qualcare PPO/HMO/WC	$56.85

Know your out-of-pocket cost for care.

All Charges