Heights University Hospital

All Charges

Charge

Type

Setting

Price

MALIGNANT BREAST DISORDERS

Facility

$20,773.59

Service Code	APR-DRG 3824
Min. Negotiated Rate	$18,568.35
Max. Negotiated Rate	$20,773.59
Rate for Payer: Aetna Better Health Medicaid	$20,366.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,773.59
Rate for Payer: Wellpoint Medicaid Managed Care	$18,568.35

MALIGNANT BREAST DISORDERS

Facility

$7,541.52

Service Code	APR-DRG 3821
Min. Negotiated Rate	$5,872.44
Max. Negotiated Rate	$7,541.52
Rate for Payer: Aetna Better Health Medicaid	$7,393.65
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,541.52
Rate for Payer: Wellpoint Medicaid Managed Care	$5,872.44

MALIGNANT BREAST DISORDERS

Facility

$13,840.21

Service Code	APR-DRG 3823
Min. Negotiated Rate	$11,039.53
Max. Negotiated Rate	$13,840.21
Rate for Payer: Aetna Better Health Medicaid	$13,568.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,840.21
Rate for Payer: Wellpoint Medicaid Managed Care	$11,039.53

MALIGNANT BREAST DISORDERS

Facility

$9,653.70

Service Code	APR-DRG 3822
Min. Negotiated Rate	$6,965.82
Max. Negotiated Rate	$9,653.70
Rate for Payer: Aetna Better Health Medicaid	$9,464.41
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,653.70
Rate for Payer: Wellpoint Medicaid Managed Care	$6,965.82

MALIGNANT BREAST DISORDERS WITH CC

Facility

$44,659.05

Service Code	MSDRG 598
Min. Negotiated Rate	$12,345.41
Max. Negotiated Rate	$44,659.05
Rate for Payer: Aetna Commercial	$38,147.32
Rate for Payer: Aetna Medicare Advantage	$12,345.41
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	$14,886.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,080.40
Rate for Payer: Cigna Commercial	$24,346.71
Rate for Payer: Cigna Medicare Advantage	$14,886.35
Rate for Payer: Clover Medicare Advantage	$14,142.03
Rate for Payer: EmblemHealth Commercial	$44,659.05
Rate for Payer: Humana Medicare Advantage	$15,332.94
Rate for Payer: Oxford Commercial	$15,215.99
Rate for Payer: UnitedHealthcare Commercial	$17,271.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,886.35
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,779.53
Rate for Payer: Wellcare Medicare Advantage	$14,886.35

MALIGNANT BREAST DISORDERS WITH MCC

Facility

$60,211.02

Service Code	MSDRG 597
Min. Negotiated Rate	$18,192.37
Max. Negotiated Rate	$60,211.02
Rate for Payer: Humana Medicare Advantage	$20,672.45
Rate for Payer: Aetna Commercial	$56,214.42
Rate for Payer: Aetna Medicare Advantage	$18,192.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,107.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,107.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,070.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,107.20
Rate for Payer: Cigna Commercial	$35,877.66
Rate for Payer: Cigna Medicare Advantage	$20,070.34
Rate for Payer: Clover Medicare Advantage	$19,066.82
Rate for Payer: EmblemHealth Commercial	$60,211.02
Rate for Payer: Oxford Commercial	$22,422.49
Rate for Payer: UnitedHealthcare Commercial	$25,451.62
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,070.34
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,274.56
Rate for Payer: Wellcare Medicare Advantage	$20,070.34

MALIGNANT BREAST DISORDERS WITHOUT CC/MCC

Facility

$34,154.61

Service Code	MSDRG 599
Min. Negotiated Rate	$8,396.14
Max. Negotiated Rate	$34,154.61
Rate for Payer: Aetna Commercial	$25,944.07
Rate for Payer: Aetna Medicare Advantage	$8,396.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,469.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,469.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,384.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18,469.89
Rate for Payer: Cigna Commercial	$15,779.20
Rate for Payer: Cigna Medicare Advantage	$11,384.87
Rate for Payer: Clover Medicare Advantage	$10,815.63
Rate for Payer: EmblemHealth Commercial	$34,154.61
Rate for Payer: Humana Medicare Advantage	$11,726.42
Rate for Payer: Oxford Commercial	$9,861.54
Rate for Payer: UnitedHealthcare Commercial	$11,193.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,384.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12,067.96
Rate for Payer: Wellcare Medicare Advantage	$11,384.87

MALLEABLE DUAL CANN TIP 20GX7

Facility

$175.00

Hospital Charge Code	270670477
Hospital Revenue Code	272
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

MALLEABLE DUAL CANN TIP 20GX7

Facility

$175.00

Hospital Charge Code	270670477
Hospital Revenue Code	272
Min. Negotiated Rate	$22.75
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$52.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.75
Rate for Payer: Oxford Commercial	$87.50
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Commercial	$87.50

MALLEABLE PENIL PROSTHESIS

Facility

$38,750.00

Service Code	HCPCS C1813
Hospital Charge Code	270679945
Hospital Revenue Code	278
Min. Negotiated Rate	$5,812.50
Max. Negotiated Rate	$9,377.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,377.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,812.50

MALLEABLE PENIL PROSTHESIS

Facility

$38,750.00

Service Code	HCPCS C1813
Hospital Charge Code	270679945
Hospital Revenue Code	278
Min. Negotiated Rate	$5,812.50
Max. Negotiated Rate	$19,375.00
Rate for Payer: Aetna Commercial	$11,625.00
Rate for Payer: Aetna Medicare Advantage	$11,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,881.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,881.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,881.25
Rate for Payer: Cigna Commercial	$19,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,377.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,812.50

MALLEOLAR SCREW

Facility

$66.00

Hospital Charge Code	270335047
Hospital Revenue Code	278
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$15.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.97
Rate for Payer: Qualcare PPO/HMO/WC	$9.90

MALLEOLAR SCREW

Facility

$66.00

Hospital Charge Code	270335047
Hospital Revenue Code	278
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$33.00
Rate for Payer: Aetna Commercial	$19.80
Rate for Payer: Aetna Medicare Advantage	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.83
Rate for Payer: Cigna Commercial	$33.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.97
Rate for Payer: Qualcare PPO/HMO/WC	$9.90

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$8,238.11

Service Code	APR-DRG 4212
Min. Negotiated Rate	$5,905.29
Max. Negotiated Rate	$8,238.11
Rate for Payer: Aetna Better Health Medicaid	$8,076.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,238.11
Rate for Payer: Wellpoint Medicaid Managed Care	$5,905.29

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$12,674.52

Service Code	APR-DRG 4213
Min. Negotiated Rate	$9,055.98
Max. Negotiated Rate	$12,674.52
Rate for Payer: Aetna Better Health Medicaid	$12,426.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,674.52
Rate for Payer: Wellpoint Medicaid Managed Care	$9,055.98

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$5,512.19

Service Code	APR-DRG 4211
Min. Negotiated Rate	$5,314.77
Max. Negotiated Rate	$5,512.19
Rate for Payer: Aetna Better Health Medicaid	$5,404.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,512.19
Rate for Payer: Wellpoint Medicaid Managed Care	$5,314.77

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$24,617.36

Service Code	APR-DRG 4214
Min. Negotiated Rate	$19,201.46
Max. Negotiated Rate	$24,617.36
Rate for Payer: Aetna Better Health Medicaid	$24,134.67
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,617.36
Rate for Payer: Wellpoint Medicaid Managed Care	$19,201.46

MALYUGIN

Facility

$625.00

Hospital Charge Code	270670819
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

MALYUGIN

Facility

$625.00

Hospital Charge Code	270670819
Hospital Revenue Code	272
Min. Negotiated Rate	$81.25
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.25
Rate for Payer: Oxford Commercial	$312.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$312.50

MA MAMMO DIAG DIGI LEFT

Facility

$437.50

Hospital Charge Code	2700022
Hospital Revenue Code	401
Min. Negotiated Rate	$65.62
Max. Negotiated Rate	$65.62
Rate for Payer: Qualcare PPO/HMO/WC	$65.62

MA MAMMO DIAG DIGI LEFT

Facility

$437.50

Hospital Charge Code	2700022
Hospital Revenue Code	401
Min. Negotiated Rate	$56.88
Max. Negotiated Rate	$1,240.00
Rate for Payer: Aetna Commercial	$131.25
Rate for Payer: Aetna Medicare Advantage	$131.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.56
Rate for Payer: Cigna Commercial	$218.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.88
Rate for Payer: Oxford Commercial	$1,092.00
Rate for Payer: Qualcare PPO/HMO/WC	$65.62
Rate for Payer: UnitedHealthcare Commercial	$1,240.00

MA MAMMO DIAG DIGI RIGHT

Facility

$437.50

Hospital Charge Code	2700023
Hospital Revenue Code	401
Min. Negotiated Rate	$65.62
Max. Negotiated Rate	$65.62
Rate for Payer: Qualcare PPO/HMO/WC	$65.62

MA MAMMO DIAG DIGI RIGHT

Facility

$437.50

Hospital Charge Code	2700023
Hospital Revenue Code	401
Min. Negotiated Rate	$56.88
Max. Negotiated Rate	$1,240.00
Rate for Payer: Aetna Commercial	$131.25
Rate for Payer: Aetna Medicare Advantage	$131.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.56
Rate for Payer: Cigna Commercial	$218.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.88
Rate for Payer: Oxford Commercial	$1,092.00
Rate for Payer: Qualcare PPO/HMO/WC	$65.62
Rate for Payer: UnitedHealthcare Commercial	$1,240.00

MA MAMMO DIAGNOSTIC DIGI BILAT

Facility

$783.75

Hospital Charge Code	2700021
Hospital Revenue Code	401
Min. Negotiated Rate	$117.56
Max. Negotiated Rate	$117.56
Rate for Payer: Qualcare PPO/HMO/WC	$117.56

MA MAMMO DIAGNOSTIC DIGI BILAT

Facility

$783.75

Hospital Charge Code	2700021
Hospital Revenue Code	401
Min. Negotiated Rate	$101.89
Max. Negotiated Rate	$1,240.00
Rate for Payer: Aetna Commercial	$235.12
Rate for Payer: Aetna Medicare Advantage	$235.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$199.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$199.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$199.86
Rate for Payer: Cigna Commercial	$391.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.89
Rate for Payer: Oxford Commercial	$1,092.00
Rate for Payer: Qualcare PPO/HMO/WC	$117.56
Rate for Payer: UnitedHealthcare Commercial	$1,240.00

Know your out-of-pocket cost for care.

All Charges