Heights University Hospital

All Charges

Charge

Type

Setting

Price

NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC

Facility

$121,789.48

Service Code	MSDRG 097
Min. Negotiated Rate	$36,941.51
Max. Negotiated Rate	$121,789.48
Rate for Payer: Aetna Medicare Advantage	$39,414.07
Rate for Payer: Aetna Commercial	$121,789.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100,343.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100,343.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$38,885.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100,343.88
Rate for Payer: Cigna Medicare Advantage	$38,885.80
Rate for Payer: Clover Medicare Advantage	$36,941.51
Rate for Payer: EmblemHealth Commercial	$116,657.40
Rate for Payer: Humana Medicare Advantage	$40,052.37
Rate for Payer: UnitedHealthcare Medicare Advantage	$38,885.80
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$41,218.95
Rate for Payer: Wellcare Medicare Advantage	$38,885.80

NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC

Facility

$51,366.90

Service Code	MSDRG 099
Min. Negotiated Rate	$14,867.30
Max. Negotiated Rate	$51,366.90
Rate for Payer: Aetna Commercial	$45,939.96
Rate for Payer: Aetna Medicare Advantage	$14,867.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36,388.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36,388.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,122.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36,388.44
Rate for Payer: Cigna Medicare Advantage	$17,122.30
Rate for Payer: Clover Medicare Advantage	$16,266.18
Rate for Payer: EmblemHealth Commercial	$51,366.90
Rate for Payer: Humana Medicare Advantage	$17,635.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,122.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18,149.64
Rate for Payer: Wellcare Medicare Advantage	$17,122.30

NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$24,701.67

Service Code	APR-DRG 0503
Min. Negotiated Rate	$19,336.07
Max. Negotiated Rate	$24,701.67
Rate for Payer: Aetna Better Health Medicaid	$24,217.32
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,701.67
Rate for Payer: Wellpoint Medicaid Managed Care	$19,336.07

NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$48,762.94

Service Code	APR-DRG 0504
Min. Negotiated Rate	$39,973.82
Max. Negotiated Rate	$48,762.94
Rate for Payer: Aetna Better Health Medicaid	$47,806.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$48,762.94
Rate for Payer: Wellpoint Medicaid Managed Care	$39,973.82

NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$15,633.61

Service Code	APR-DRG 0502
Min. Negotiated Rate	$11,714.33
Max. Negotiated Rate	$15,633.61
Rate for Payer: Aetna Better Health Medicaid	$15,327.07
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,633.61
Rate for Payer: Wellpoint Medicaid Managed Care	$11,714.33

NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$9,250.62

Service Code	APR-DRG 0501
Min. Negotiated Rate	$6,277.78
Max. Negotiated Rate	$9,250.62
Rate for Payer: Aetna Better Health Medicaid	$9,069.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,250.62
Rate for Payer: Wellpoint Medicaid Managed Care	$6,277.78

NON-BLADED TROCAR 10MM

Facility

$115.00

Hospital Charge Code	270335695
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

NON-BLADED TROCAR 10MM

Facility

$115.00

Hospital Charge Code	270335695
Hospital Revenue Code	272
Min. Negotiated Rate	$14.95
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$34.50
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.95
Rate for Payer: Oxford Commercial	$57.50
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$57.50

NON-BLADED TROCAR 5MM

Facility

$94.00

Hospital Charge Code	270335694
Hospital Revenue Code	272
Min. Negotiated Rate	$12.22
Max. Negotiated Rate	$47.00
Rate for Payer: Aetna Commercial	$28.20
Rate for Payer: Aetna Medicare Advantage	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.97
Rate for Payer: Cigna Commercial	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.22
Rate for Payer: Oxford Commercial	$47.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.10
Rate for Payer: UnitedHealthcare Commercial	$47.00

NON-BLADED TROCAR 5MM

Facility

$94.00

Hospital Charge Code	270335694
Hospital Revenue Code	272
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

NON CHEMO-IV START 2 HRS

Facility

$613.00

Service Code	HCPCS 96366
Hospital Charge Code	93500043
Hospital Revenue Code	260
Min. Negotiated Rate	$13.87
Max. Negotiated Rate	$802.00
Rate for Payer: Aetna Commercial	$183.90
Rate for Payer: Aetna Medicare Advantage	$183.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.31
Rate for Payer: Cigna Commercial	$111.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.69
Rate for Payer: Oxford Commercial	$707.00
Rate for Payer: Qualcare PPO/HMO/WC	$91.95
Rate for Payer: UnitedHealthcare Commercial	$802.00

NON CHEMO-IV START 2 HRS

Facility

$613.00

Service Code	HCPCS 96366
Hospital Charge Code	93500043
Hospital Revenue Code	260
Min. Negotiated Rate	$91.95
Max. Negotiated Rate	$91.95
Rate for Payer: Qualcare PPO/HMO/WC	$91.95

NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$22,883.00

Service Code	APR-DRG 3231
Min. Negotiated Rate	$22,434.31
Max. Negotiated Rate	$22,883.00
Rate for Payer: Aetna Better Health Medicaid	$22,434.31
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,883.00

NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$48,338.83

Service Code	APR-DRG 3234
Min. Negotiated Rate	$47,391.01
Max. Negotiated Rate	$48,338.83
Rate for Payer: Aetna Better Health Medicaid	$47,391.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$48,338.83

NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$34,352.60

Service Code	APR-DRG 3233
Min. Negotiated Rate	$33,679.02
Max. Negotiated Rate	$34,352.60
Rate for Payer: Aetna Better Health Medicaid	$33,679.02
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$34,352.60

NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$25,702.97

Service Code	APR-DRG 3232
Min. Negotiated Rate	$25,198.99
Max. Negotiated Rate	$25,702.97
Rate for Payer: Aetna Better Health Medicaid	$25,198.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,702.97

NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$28,160.64

Service Code	APR-DRG 3251
Min. Negotiated Rate	$27,608.47
Max. Negotiated Rate	$28,160.64
Rate for Payer: Aetna Better Health Medicaid	$27,608.47
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,160.64

NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$60,132.80

Service Code	APR-DRG 3254
Min. Negotiated Rate	$58,953.73
Max. Negotiated Rate	$60,132.80
Rate for Payer: Aetna Better Health Medicaid	$58,953.73
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$60,132.80

NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$32,413.09

Service Code	APR-DRG 3252
Min. Negotiated Rate	$31,777.54
Max. Negotiated Rate	$32,413.09
Rate for Payer: Aetna Better Health Medicaid	$31,777.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$32,413.09

NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$42,915.08

Service Code	APR-DRG 3253
Min. Negotiated Rate	$42,073.61
Max. Negotiated Rate	$42,915.08
Rate for Payer: Aetna Better Health Medicaid	$42,073.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$42,915.08

NON-EXTENSIVE BURNS

Facility

$71,615.25

Service Code	MSDRG 935
Min. Negotiated Rate	$22,479.92
Max. Negotiated Rate	$71,615.25
Rate for Payer: Aetna Commercial	$69,462.95
Rate for Payer: Aetna Medicare Advantage	$22,479.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56,236.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56,236.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,871.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56,236.68
Rate for Payer: Cigna Commercial	$44,333.26
Rate for Payer: Cigna Medicare Advantage	$23,871.75
Rate for Payer: Clover Medicare Advantage	$22,678.16
Rate for Payer: EmblemHealth Commercial	$71,615.25
Rate for Payer: Humana Medicare Advantage	$24,587.90
Rate for Payer: Oxford Commercial	$27,707.00
Rate for Payer: UnitedHealthcare Commercial	$31,450.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,871.75
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25,304.06
Rate for Payer: Wellcare Medicare Advantage	$23,871.75

NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$42,117.39

Service Code	APR-DRG 7944
Min. Negotiated Rate	$41,291.56
Max. Negotiated Rate	$42,117.39
Rate for Payer: Aetna Better Health Medicaid	$41,291.56
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$42,117.39

NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$21,919.62

Service Code	APR-DRG 7943
Min. Negotiated Rate	$21,489.82
Max. Negotiated Rate	$21,919.62
Rate for Payer: Aetna Better Health Medicaid	$21,489.82
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,919.62

NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$11,546.84

Service Code	APR-DRG 7941
Min. Negotiated Rate	$11,320.43
Max. Negotiated Rate	$11,546.84
Rate for Payer: Aetna Better Health Medicaid	$11,320.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,546.84

NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$14,885.04

Service Code	APR-DRG 7942
Min. Negotiated Rate	$14,593.18
Max. Negotiated Rate	$14,885.04
Rate for Payer: Aetna Better Health Medicaid	$14,593.18
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,885.04

Know your out-of-pocket cost for care.

All Charges