Heights University Hospital

All Charges

Charge

Type

Setting

Price

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$44,483.77

Service Code	APR-DRG 6312
Min. Negotiated Rate	$15,036.16
Max. Negotiated Rate	$44,483.77
Rate for Payer: Aetna Better Health Medicaid	$43,611.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$44,483.77
Rate for Payer: Wellpoint Medicaid Managed Care	$15,036.16

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$34,976.10

Service Code	APR-DRG 6394
Min. Negotiated Rate	$33,020.89
Max. Negotiated Rate	$34,976.10
Rate for Payer: Aetna Better Health Medicaid	$34,290.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$34,976.10
Rate for Payer: Wellpoint Medicaid Managed Care	$33,020.89

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$4,314.25

Service Code	APR-DRG 6391
Min. Negotiated Rate	$3,961.00
Max. Negotiated Rate	$4,314.25
Rate for Payer: Aetna Better Health Medicaid	$4,229.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,314.25
Rate for Payer: Wellpoint Medicaid Managed Care	$3,961.00

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$20,965.99

Service Code	APR-DRG 6393
Min. Negotiated Rate	$12,184.16
Max. Negotiated Rate	$20,965.99
Rate for Payer: Aetna Better Health Medicaid	$20,554.89
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,965.99
Rate for Payer: Wellpoint Medicaid Managed Care	$12,184.16

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$6,371.70

Service Code	APR-DRG 6392
Min. Negotiated Rate	$6,246.76
Max. Negotiated Rate	$6,371.70
Rate for Payer: Aetna Better Health Medicaid	$6,246.76
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,371.70
Rate for Payer: Wellpoint Medicaid Managed Care	$6,278.99

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$7,443.26

Service Code	APR-DRG 6341
Min. Negotiated Rate	$5,061.58
Max. Negotiated Rate	$7,443.26
Rate for Payer: Aetna Better Health Medicaid	$7,297.31
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,443.26
Rate for Payer: Wellpoint Medicaid Managed Care	$5,061.58

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$50,867.85

Service Code	APR-DRG 6344
Min. Negotiated Rate	$47,530.03
Max. Negotiated Rate	$50,867.85
Rate for Payer: Aetna Better Health Medicaid	$47,530.03
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$48,480.63
Rate for Payer: Wellpoint Medicaid Managed Care	$50,867.85

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$15,868.08

Service Code	APR-DRG 6342
Min. Negotiated Rate	$9,218.29
Max. Negotiated Rate	$15,868.08
Rate for Payer: Aetna Better Health Medicaid	$15,556.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,868.08
Rate for Payer: Wellpoint Medicaid Managed Care	$9,218.29

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$20,451.90

Service Code	APR-DRG 6343
Min. Negotiated Rate	$16,267.42
Max. Negotiated Rate	$20,451.90
Rate for Payer: Aetna Better Health Medicaid	$16,267.42
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,592.77
Rate for Payer: Wellpoint Medicaid Managed Care	$20,451.90

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$154,931.30

Service Code	APR-DRG 5913
Min. Negotiated Rate	$141,736.94
Max. Negotiated Rate	$154,931.30
Rate for Payer: Aetna Better Health Medicaid	$151,893.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$154,931.30
Rate for Payer: Wellpoint Medicaid Managed Care	$141,736.94

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$82,270.78

Service Code	APR-DRG 5911
Min. Negotiated Rate	$1,347.94
Max. Negotiated Rate	$82,270.78
Rate for Payer: Aetna Better Health Medicaid	$1,347.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,374.90
Rate for Payer: Wellpoint Medicaid Managed Care	$82,270.78

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$236,643.84

Service Code	APR-DRG 5914
Min. Negotiated Rate	$200,090.17
Max. Negotiated Rate	$236,643.84
Rate for Payer: Aetna Better Health Medicaid	$232,003.76
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$236,643.84
Rate for Payer: Wellpoint Medicaid Managed Care	$200,090.17

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$114,141.29

Service Code	APR-DRG 5912
Min. Negotiated Rate	$89,785.42
Max. Negotiated Rate	$114,141.29
Rate for Payer: Aetna Better Health Medicaid	$89,785.42
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$91,581.13
Rate for Payer: Wellpoint Medicaid Managed Care	$114,141.29

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$2,349.51

Service Code	APR-DRG 5894
Min. Negotiated Rate	$936.29
Max. Negotiated Rate	$2,349.51
Rate for Payer: Aetna Better Health Medicaid	$936.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$955.02
Rate for Payer: Wellpoint Medicaid Managed Care	$2,349.51

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$96,632.14

Service Code	APR-DRG 5892
Min. Negotiated Rate	$61,770.72
Max. Negotiated Rate	$96,632.14
Rate for Payer: Aetna Better Health Medicaid	$61,770.72
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$63,006.13
Rate for Payer: Wellpoint Medicaid Managed Care	$96,632.14

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$69,124.28

Service Code	APR-DRG 5893
Min. Negotiated Rate	$51,872.60
Max. Negotiated Rate	$69,124.28
Rate for Payer: Aetna Better Health Medicaid	$51,872.60
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$52,910.05
Rate for Payer: Wellpoint Medicaid Managed Care	$69,124.28

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$137,760.45

Service Code	APR-DRG 5891
Min. Negotiated Rate	$84,816.38
Max. Negotiated Rate	$137,760.45
Rate for Payer: Aetna Better Health Medicaid	$84,816.38
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$86,512.71
Rate for Payer: Wellpoint Medicaid Managed Care	$137,760.45

NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$239,028.49

Service Code	APR-DRG 5934
Min. Negotiated Rate	$164,378.03
Max. Negotiated Rate	$239,028.49
Rate for Payer: Aetna Better Health Medicaid	$234,341.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$239,028.49
Rate for Payer: Wellpoint Medicaid Managed Care	$164,378.03

NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$125,182.33

Service Code	APR-DRG 5932
Min. Negotiated Rate	$86,420.77
Max. Negotiated Rate	$125,182.33
Rate for Payer: Aetna Better Health Medicaid	$122,727.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$125,182.33
Rate for Payer: Wellpoint Medicaid Managed Care	$86,420.77

NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$161,001.03

Service Code	APR-DRG 5933
Min. Negotiated Rate	$115,098.01
Max. Negotiated Rate	$161,001.03
Rate for Payer: Aetna Better Health Medicaid	$157,844.15
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$161,001.03
Rate for Payer: Wellpoint Medicaid Managed Care	$115,098.01

NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$25,508.64

Service Code	APR-DRG 5931
Min. Negotiated Rate	$2,384.71
Max. Negotiated Rate	$25,508.64
Rate for Payer: Aetna Better Health Medicaid	$2,384.71
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,432.40
Rate for Payer: Wellpoint Medicaid Managed Care	$25,508.64

NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY

Facility

$64,132.41

Service Code	MSDRG 789
Min. Negotiated Rate	$3,028.00
Max. Negotiated Rate	$64,132.41
Rate for Payer: Aetna Commercial	$60,769.98
Rate for Payer: Aetna Medicare Advantage	$19,666.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50,171.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50,171.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,377.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50,171.94
Rate for Payer: Cigna Commercial	$38,785.15
Rate for Payer: Cigna Medicare Advantage	$21,377.47
Rate for Payer: Clover Medicare Advantage	$20,308.60
Rate for Payer: EmblemHealth Commercial	$64,132.41
Rate for Payer: Humana Medicare Advantage	$22,018.79
Rate for Payer: Oxford Commercial	$3,028.00
Rate for Payer: UnitedHealthcare Commercial	$3,437.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,377.47
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,660.12
Rate for Payer: Wellcare Medicare Advantage	$21,377.47

NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$5,432.11

Service Code	APR-DRG 5814
Min. Negotiated Rate	$5,069.87
Max. Negotiated Rate	$5,432.11
Rate for Payer: Aetna Better Health Medicaid	$5,325.60
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,432.11
Rate for Payer: Wellpoint Medicaid Managed Care	$5,069.87

NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$2,150.10

Service Code	APR-DRG 5812
Min. Negotiated Rate	$1,463.27
Max. Negotiated Rate	$2,150.10
Rate for Payer: Aetna Better Health Medicaid	$2,107.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,150.10
Rate for Payer: Wellpoint Medicaid Managed Care	$1,463.27

NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$1,432.48

Service Code	APR-DRG 5811
Min. Negotiated Rate	$921.33
Max. Negotiated Rate	$1,432.48
Rate for Payer: Aetna Better Health Medicaid	$1,404.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,432.48
Rate for Payer: Wellpoint Medicaid Managed Care	$921.33

Know your out-of-pocket cost for care.

All Charges