Heights University Hospital

All Charges

Charge

Type

Setting

Price

NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC

Facility

$59,528.94

Service Code	MSDRG 988
Min. Negotiated Rate	$17,935.92
Max. Negotiated Rate	$59,528.94
Rate for Payer: Aetna Commercial	$55,421.99
Rate for Payer: Aetna Medicare Advantage	$17,935.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46,863.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46,863.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,842.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46,863.90
Rate for Payer: Cigna Commercial	$35,371.92
Rate for Payer: Cigna Medicare Advantage	$19,842.98
Rate for Payer: Clover Medicare Advantage	$18,850.83
Rate for Payer: EmblemHealth Commercial	$59,528.94
Rate for Payer: Humana Medicare Advantage	$20,438.27
Rate for Payer: Oxford Commercial	$22,106.42
Rate for Payer: UnitedHealthcare Commercial	$25,092.84
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,842.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,033.56
Rate for Payer: Wellcare Medicare Advantage	$19,842.98

NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC

Facility

$115,605.24

Service Code	MSDRG 987
Min. Negotiated Rate	$35,255.79
Max. Negotiated Rate	$115,605.24
Rate for Payer: Aetna Commercial	$115,605.24
Rate for Payer: Aetna Medicare Advantage	$37,412.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93,176.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93,176.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37,111.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93,176.46
Rate for Payer: Cigna Commercial	$73,782.60
Rate for Payer: Cigna Medicare Advantage	$37,111.36
Rate for Payer: Clover Medicare Advantage	$35,255.79
Rate for Payer: EmblemHealth Commercial	$111,334.08
Rate for Payer: Humana Medicare Advantage	$38,224.70
Rate for Payer: Oxford Commercial	$46,111.98
Rate for Payer: UnitedHealthcare Commercial	$52,341.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$37,111.36
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$39,338.04
Rate for Payer: Wellcare Medicare Advantage	$37,111.36

NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC

Facility

$46,629.90

Service Code	MSDRG 989
Min. Negotiated Rate	$13,086.37
Max. Negotiated Rate	$46,629.90
Rate for Payer: Aetna Commercial	$40,436.88
Rate for Payer: Aetna Medicare Advantage	$13,086.37
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	$15,543.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29,772.36
Rate for Payer: Cigna Commercial	$25,807.98
Rate for Payer: Cigna Medicare Advantage	$15,543.30
Rate for Payer: Clover Medicare Advantage	$14,766.14
Rate for Payer: EmblemHealth Commercial	$46,629.90
Rate for Payer: Humana Medicare Advantage	$16,009.60
Rate for Payer: Oxford Commercial	$16,129.24
Rate for Payer: UnitedHealthcare Commercial	$18,308.19
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,543.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16,475.90
Rate for Payer: Wellcare Medicare Advantage	$15,543.30

NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$16,821.71

Service Code	APR-DRG 9522
Min. Negotiated Rate	$11,993.47
Max. Negotiated Rate	$16,821.71
Rate for Payer: Aetna Better Health Medicaid	$16,491.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,821.71
Rate for Payer: Wellpoint Medicaid Managed Care	$11,993.47

NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$12,541.16

Service Code	APR-DRG 9521
Min. Negotiated Rate	$8,059.69
Max. Negotiated Rate	$12,541.16
Rate for Payer: Aetna Better Health Medicaid	$12,295.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,541.16
Rate for Payer: Wellpoint Medicaid Managed Care	$8,059.69

NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$27,090.54

Service Code	APR-DRG 9523
Min. Negotiated Rate	$20,359.10
Max. Negotiated Rate	$27,090.54
Rate for Payer: Aetna Better Health Medicaid	$26,559.35
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,090.54
Rate for Payer: Wellpoint Medicaid Managed Care	$20,359.10

NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$50,677.11

Service Code	APR-DRG 9524
Min. Negotiated Rate	$38,618.42
Max. Negotiated Rate	$50,677.11
Rate for Payer: Aetna Better Health Medicaid	$49,683.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$50,677.11
Rate for Payer: Wellpoint Medicaid Managed Care	$38,618.42

NON FORMULARY IVPB

Facility

$62.10

Hospital Charge Code	60628841
Hospital Revenue Code	250
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$31.05
Rate for Payer: Aetna Commercial	$18.63
Rate for Payer: Aetna Medicare Advantage	$18.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.84
Rate for Payer: Cigna Commercial	$31.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.07
Rate for Payer: Oxford Commercial	$31.05
Rate for Payer: Qualcare PPO/HMO/WC	$9.31
Rate for Payer: UnitedHealthcare Commercial	$31.05

NON FORMULARY IVPB

Facility

$62.10

Hospital Charge Code	60628841
Hospital Revenue Code	250
Min. Negotiated Rate	$9.31
Max. Negotiated Rate	$9.31
Rate for Payer: Qualcare PPO/HMO/WC	$9.31

NON-FORMULARY IVPB

Facility

$62.10

Hospital Charge Code	60628537
Hospital Revenue Code	250
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$31.05
Rate for Payer: Aetna Commercial	$18.63
Rate for Payer: Aetna Medicare Advantage	$18.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.84
Rate for Payer: Cigna Commercial	$31.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.07
Rate for Payer: Oxford Commercial	$31.05
Rate for Payer: Qualcare PPO/HMO/WC	$9.31
Rate for Payer: UnitedHealthcare Commercial	$31.05

NON-FORMULARY IVPB

Facility

$62.10

Hospital Charge Code	60628537
Hospital Revenue Code	250
Min. Negotiated Rate	$9.31
Max. Negotiated Rate	$9.31
Rate for Payer: Qualcare PPO/HMO/WC	$9.31

NON FORMULARY LVP

Facility

$122.90

Hospital Charge Code	60628842
Hospital Revenue Code	250
Min. Negotiated Rate	$18.43
Max. Negotiated Rate	$18.43
Rate for Payer: Qualcare PPO/HMO/WC	$18.43

NON FORMULARY LVP

Facility

$122.90

Hospital Charge Code	60628842
Hospital Revenue Code	250
Min. Negotiated Rate	$15.98
Max. Negotiated Rate	$61.45
Rate for Payer: Aetna Commercial	$36.87
Rate for Payer: Aetna Medicare Advantage	$36.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.34
Rate for Payer: Cigna Commercial	$61.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.98
Rate for Payer: Oxford Commercial	$61.45
Rate for Payer: Qualcare PPO/HMO/WC	$18.43
Rate for Payer: UnitedHealthcare Commercial	$61.45

NON-FORMULARY LVP

Facility

$122.90

Hospital Charge Code	60628538
Hospital Revenue Code	250
Min. Negotiated Rate	$15.98
Max. Negotiated Rate	$61.45
Rate for Payer: Aetna Commercial	$36.87
Rate for Payer: Aetna Medicare Advantage	$36.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.34
Rate for Payer: Cigna Commercial	$61.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.98
Rate for Payer: Oxford Commercial	$61.45
Rate for Payer: Qualcare PPO/HMO/WC	$18.43
Rate for Payer: UnitedHealthcare Commercial	$61.45

NON-FORMULARY LVP

Facility

$122.90

Hospital Charge Code	60628538
Hospital Revenue Code	250
Min. Negotiated Rate	$18.43
Max. Negotiated Rate	$18.43
Rate for Payer: Qualcare PPO/HMO/WC	$18.43

NON-FORMULARY MED

Facility

$31.40

Hospital Charge Code	60628539
Hospital Revenue Code	250
Min. Negotiated Rate	$4.71
Max. Negotiated Rate	$4.71
Rate for Payer: Qualcare PPO/HMO/WC	$4.71

NON-FORMULARY MED

Facility

$31.40

Hospital Charge Code	60628539
Hospital Revenue Code	250
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$15.70
Rate for Payer: Aetna Commercial	$9.42
Rate for Payer: Aetna Medicare Advantage	$9.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.01
Rate for Payer: Cigna Commercial	$15.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.08
Rate for Payer: Oxford Commercial	$15.70
Rate for Payer: Qualcare PPO/HMO/WC	$4.71
Rate for Payer: UnitedHealthcare Commercial	$15.70

NON-FORMULARY MED

Facility

$31.40

Hospital Charge Code	60628843
Hospital Revenue Code	250
Min. Negotiated Rate	$4.71
Max. Negotiated Rate	$4.71
Rate for Payer: Qualcare PPO/HMO/WC	$4.71

NON-FORMULARY MED

Facility

$31.40

Hospital Charge Code	60628843
Hospital Revenue Code	250
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$15.70
Rate for Payer: Aetna Commercial	$9.42
Rate for Payer: Aetna Medicare Advantage	$9.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.01
Rate for Payer: Cigna Commercial	$15.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.08
Rate for Payer: Oxford Commercial	$15.70
Rate for Payer: Qualcare PPO/HMO/WC	$4.71
Rate for Payer: UnitedHealthcare Commercial	$15.70

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534H
Hospital Revenue Code	301
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.24
Rate for Payer: Aetna Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.49
Rate for Payer: Cigna Commercial	$5.32
Rate for Payer: Cigna Medicare Advantage	$2.66
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.64
Rate for Payer: Wellcare Medicare Advantage	$5.32

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534C
Hospital Revenue Code	301
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.24
Rate for Payer: Aetna Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.49
Rate for Payer: Cigna Commercial	$5.32
Rate for Payer: Cigna Medicare Advantage	$2.66
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.64
Rate for Payer: Wellcare Medicare Advantage	$5.32

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534H
Hospital Revenue Code	301
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534F
Hospital Revenue Code	301
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.24
Rate for Payer: Aetna Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.49
Rate for Payer: Cigna Commercial	$5.32
Rate for Payer: Cigna Medicare Advantage	$2.66
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.64
Rate for Payer: Wellcare Medicare Advantage	$5.32

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534E
Hospital Revenue Code	301
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

NON-HODGKIN LYMPHOMA PROFILE(F

Facility

$22.40

Service Code	HCPCS 82271
Hospital Charge Code	3038534E
Hospital Revenue Code	301
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$17.24
Rate for Payer: Aetna Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.49
Rate for Payer: Cigna Commercial	$5.32
Rate for Payer: Cigna Medicare Advantage	$2.66
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$5.64
Rate for Payer: Wellcare Medicare Advantage	$5.32

Know your out-of-pocket cost for care.

All Charges