Heights University Hospital

All Charges

Charge

Type

Setting

Price

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$8,336.38

Service Code	APR-DRG 4662
Min. Negotiated Rate	$6,205.84
Max. Negotiated Rate	$8,336.38
Rate for Payer: Aetna Better Health Medicaid	$8,172.92
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,336.38
Rate for Payer: Wellpoint Medicaid Managed Care	$6,205.84

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$11,758.89

Service Code	APR-DRG 4663
Min. Negotiated Rate	$9,453.33
Max. Negotiated Rate	$11,758.89
Rate for Payer: Aetna Better Health Medicaid	$11,528.32
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,758.89
Rate for Payer: Wellpoint Medicaid Managed Care	$9,453.33

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$5,925.09

Service Code	APR-DRG 4661
Min. Negotiated Rate	$4,455.75
Max. Negotiated Rate	$5,925.09
Rate for Payer: Aetna Better Health Medicaid	$5,808.91
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,925.09
Rate for Payer: Wellpoint Medicaid Managed Care	$4,455.75

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$19,363.60

Service Code	APR-DRG 4664
Min. Negotiated Rate	$16,799.99
Max. Negotiated Rate	$19,363.60
Rate for Payer: Aetna Better Health Medicaid	$18,983.92
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,363.60
Rate for Payer: Wellpoint Medicaid Managed Care	$16,799.99

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$7,190.43

Service Code	APR-DRG 3491
Min. Negotiated Rate	$4,902.11
Max. Negotiated Rate	$7,190.43
Rate for Payer: Aetna Better Health Medicaid	$7,049.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,190.43
Rate for Payer: Wellpoint Medicaid Managed Care	$4,902.11

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$14,670.15

Service Code	APR-DRG 3493
Min. Negotiated Rate	$10,690.21
Max. Negotiated Rate	$14,670.15
Rate for Payer: Aetna Better Health Medicaid	$14,382.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,670.15
Rate for Payer: Wellpoint Medicaid Managed Care	$10,690.21

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$24,551.41

Service Code	APR-DRG 3494
Min. Negotiated Rate	$21,923.76
Max. Negotiated Rate	$24,551.41
Rate for Payer: Aetna Better Health Medicaid	$24,070.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,551.41
Rate for Payer: Wellpoint Medicaid Managed Care	$21,923.76

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$10,195.82

Service Code	APR-DRG 3492
Min. Negotiated Rate	$7,012.16
Max. Negotiated Rate	$10,195.82
Rate for Payer: Aetna Better Health Medicaid	$9,995.90
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,195.82
Rate for Payer: Wellpoint Medicaid Managed Care	$7,012.16

MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC

Facility

$43,396.41

Service Code	MSDRG 755
Min. Negotiated Rate	$11,870.71
Max. Negotiated Rate	$43,396.41
Rate for Payer: Aetna Commercial	$36,680.49
Rate for Payer: Aetna Medicare Advantage	$11,870.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29,772.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29,772.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,465.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29,772.36
Rate for Payer: Cigna Commercial	$23,410.54
Rate for Payer: Cigna Medicare Advantage	$14,465.47
Rate for Payer: Clover Medicare Advantage	$13,742.20
Rate for Payer: EmblemHealth Commercial	$43,396.41
Rate for Payer: Humana Medicare Advantage	$14,899.43
Rate for Payer: Oxford Commercial	$14,630.91
Rate for Payer: UnitedHealthcare Commercial	$16,607.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,465.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,333.40
Rate for Payer: Wellcare Medicare Advantage	$14,465.47

MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$65,278.92

Service Code	MSDRG 754
Min. Negotiated Rate	$20,097.70
Max. Negotiated Rate	$65,278.92
Rate for Payer: Aetna Commercial	$62,101.89
Rate for Payer: Aetna Medicare Advantage	$20,097.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50,998.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50,998.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,759.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50,998.95
Rate for Payer: Cigna Commercial	$39,635.23
Rate for Payer: Cigna Medicare Advantage	$21,759.64
Rate for Payer: Clover Medicare Advantage	$20,671.66
Rate for Payer: EmblemHealth Commercial	$65,278.92
Rate for Payer: Humana Medicare Advantage	$22,412.43
Rate for Payer: Oxford Commercial	$24,770.87
Rate for Payer: UnitedHealthcare Commercial	$28,117.23
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,759.64
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23,065.22
Rate for Payer: Wellcare Medicare Advantage	$21,759.64

MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility

$39,701.43

Service Code	MSDRG 756
Min. Negotiated Rate	$10,481.54
Max. Negotiated Rate	$39,701.43
Rate for Payer: Aetna Commercial	$32,387.96
Rate for Payer: Aetna Medicare Advantage	$10,481.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,291.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,291.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,233.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,291.33
Rate for Payer: Cigna Commercial	$20,670.92
Rate for Payer: Cigna Medicare Advantage	$13,233.81
Rate for Payer: Clover Medicare Advantage	$12,572.12
Rate for Payer: EmblemHealth Commercial	$39,701.43
Rate for Payer: Humana Medicare Advantage	$13,630.82
Rate for Payer: Oxford Commercial	$12,918.73
Rate for Payer: UnitedHealthcare Commercial	$14,663.95
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,233.81
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,027.84
Rate for Payer: Wellcare Medicare Advantage	$13,233.81

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$14,227.77

Service Code	APR-DRG 5003
Min. Negotiated Rate	$10,931.12
Max. Negotiated Rate	$14,227.77
Rate for Payer: Aetna Better Health Medicaid	$13,948.79
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,227.77
Rate for Payer: Wellpoint Medicaid Managed Care	$10,931.12

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$26,010.53

Service Code	APR-DRG 5004
Min. Negotiated Rate	$17,934.27
Max. Negotiated Rate	$26,010.53
Rate for Payer: Aetna Better Health Medicaid	$25,500.52
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,010.53
Rate for Payer: Wellpoint Medicaid Managed Care	$17,934.27

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$7,358.95

Service Code	APR-DRG 5001
Min. Negotiated Rate	$5,434.19
Max. Negotiated Rate	$7,358.95
Rate for Payer: Aetna Better Health Medicaid	$7,214.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,358.95
Rate for Payer: Wellpoint Medicaid Managed Care	$5,434.19

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$9,271.74

Service Code	APR-DRG 5002
Min. Negotiated Rate	$6,911.50
Max. Negotiated Rate	$9,271.74
Rate for Payer: Aetna Better Health Medicaid	$9,089.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,271.74
Rate for Payer: Wellpoint Medicaid Managed Care	$6,911.50

MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC

Facility

$44,989.92

Service Code	MSDRG 723
Min. Negotiated Rate	$12,469.81
Max. Negotiated Rate	$44,989.92
Rate for Payer: Aetna Commercial	$38,531.71
Rate for Payer: Aetna Medicare Advantage	$12,469.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,599.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,599.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,996.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,599.37
Rate for Payer: Cigna Commercial	$24,592.05
Rate for Payer: Cigna Medicare Advantage	$14,996.64
Rate for Payer: Clover Medicare Advantage	$14,246.81
Rate for Payer: EmblemHealth Commercial	$44,989.92
Rate for Payer: Humana Medicare Advantage	$15,446.54
Rate for Payer: Oxford Commercial	$15,369.32
Rate for Payer: UnitedHealthcare Commercial	$17,445.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,996.64
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,896.44
Rate for Payer: Wellcare Medicare Advantage	$14,996.64

MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$64,350.09

Service Code	MSDRG 722
Min. Negotiated Rate	$19,748.50
Max. Negotiated Rate	$64,350.09
Rate for Payer: Aetna Commercial	$61,022.86
Rate for Payer: Aetna Medicare Advantage	$19,748.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51,550.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51,550.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,450.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51,550.29
Rate for Payer: Cigna Commercial	$38,946.55
Rate for Payer: Cigna Medicare Advantage	$21,450.03
Rate for Payer: Clover Medicare Advantage	$20,377.53
Rate for Payer: EmblemHealth Commercial	$64,350.09
Rate for Payer: Humana Medicare Advantage	$22,093.53
Rate for Payer: Oxford Commercial	$24,340.47
Rate for Payer: UnitedHealthcare Commercial	$27,628.69
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,450.03
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,737.03
Rate for Payer: Wellcare Medicare Advantage	$21,450.03

MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility

$30,854.40

Service Code	MSDRG 724
Min. Negotiated Rate	$7,155.38
Max. Negotiated Rate	$30,854.40
Rate for Payer: Aetna Commercial	$22,110.12
Rate for Payer: Aetna Medicare Advantage	$7,155.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,329.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,329.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,284.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,329.27
Rate for Payer: Cigna Commercial	$13,164.40
Rate for Payer: Cigna Medicare Advantage	$10,284.80
Rate for Payer: Clover Medicare Advantage	$9,770.56
Rate for Payer: EmblemHealth Commercial	$30,854.40
Rate for Payer: Humana Medicare Advantage	$10,593.34
Rate for Payer: Oxford Commercial	$8,227.36
Rate for Payer: UnitedHealthcare Commercial	$9,338.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,284.80
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10,901.89
Rate for Payer: Wellcare Medicare Advantage	$10,284.80

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$14,935.56

Service Code	APR-DRG 2813
Min. Negotiated Rate	$12,032.18
Max. Negotiated Rate	$14,935.56
Rate for Payer: Aetna Better Health Medicaid	$14,642.71
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,935.56
Rate for Payer: Wellpoint Medicaid Managed Care	$12,032.18

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$22,019.27

Service Code	APR-DRG 2814
Min. Negotiated Rate	$19,610.43
Max. Negotiated Rate	$22,019.27
Rate for Payer: Aetna Better Health Medicaid	$21,587.52
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,019.27
Rate for Payer: Wellpoint Medicaid Managed Care	$19,610.43

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$8,305.52

Service Code	APR-DRG 2811
Min. Negotiated Rate	$7,330.02
Max. Negotiated Rate	$8,305.52
Rate for Payer: Aetna Better Health Medicaid	$8,142.67
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,305.52
Rate for Payer: Wellpoint Medicaid Managed Care	$7,330.02

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$11,469.60

Service Code	APR-DRG 2812
Min. Negotiated Rate	$8,694.98
Max. Negotiated Rate	$11,469.60
Rate for Payer: Aetna Better Health Medicaid	$11,244.71
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,469.60
Rate for Payer: Wellpoint Medicaid Managed Care	$8,694.98

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC

Facility

$44,653.23

Service Code	MSDRG 436
Min. Negotiated Rate	$12,343.22
Max. Negotiated Rate	$44,653.23
Rate for Payer: Aetna Commercial	$38,140.55
Rate for Payer: Aetna Medicare Advantage	$12,343.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,323.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,323.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,884.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,323.70
Rate for Payer: Cigna Commercial	$24,342.40
Rate for Payer: Cigna Medicare Advantage	$14,884.41
Rate for Payer: Clover Medicare Advantage	$14,140.19
Rate for Payer: EmblemHealth Commercial	$44,653.23
Rate for Payer: Humana Medicare Advantage	$15,330.94
Rate for Payer: Oxford Commercial	$15,213.30
Rate for Payer: UnitedHealthcare Commercial	$17,268.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,884.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,777.47
Rate for Payer: Wellcare Medicare Advantage	$14,884.41

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC

Facility

$65,133.81

Service Code	MSDRG 435
Min. Negotiated Rate	$20,043.14
Max. Negotiated Rate	$65,133.81
Rate for Payer: Aetna Commercial	$61,933.30
Rate for Payer: Aetna Medicare Advantage	$20,043.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48,517.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48,517.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,711.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48,517.92
Rate for Payer: Cigna Commercial	$39,527.62
Rate for Payer: Cigna Medicare Advantage	$21,711.27
Rate for Payer: Clover Medicare Advantage	$20,625.71
Rate for Payer: EmblemHealth Commercial	$65,133.81
Rate for Payer: Humana Medicare Advantage	$22,362.61
Rate for Payer: Oxford Commercial	$24,703.62
Rate for Payer: UnitedHealthcare Commercial	$28,040.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,711.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23,013.95
Rate for Payer: Wellcare Medicare Advantage	$21,711.27

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC

Facility

$36,589.89

Service Code	MSDRG 437
Min. Negotiated Rate	$9,311.71
Max. Negotiated Rate	$36,589.89
Rate for Payer: Aetna Commercial	$28,773.18
Rate for Payer: Aetna Medicare Advantage	$9,311.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,880.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,880.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,196.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,880.61
Rate for Payer: Cigna Commercial	$18,363.87
Rate for Payer: Cigna Medicare Advantage	$12,196.63
Rate for Payer: Clover Medicare Advantage	$11,586.80
Rate for Payer: EmblemHealth Commercial	$36,589.89
Rate for Payer: Humana Medicare Advantage	$12,562.53
Rate for Payer: Oxford Commercial	$11,476.89
Rate for Payer: UnitedHealthcare Commercial	$13,027.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,196.63
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12,928.43
Rate for Payer: Wellcare Medicare Advantage	$12,196.63

Know your out-of-pocket cost for care.

All Charges