Heights University Hospital

All Charges

Charge

Type

Setting

Price

OPEN CRANIOTOMY EXCEPT TRAUMA

Facility

$50,441.18

Service Code	APR-DRG 0213
Min. Negotiated Rate	$40,483.46
Max. Negotiated Rate	$50,441.18
Rate for Payer: Aetna Better Health Medicaid	$49,452.14
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$50,441.18
Rate for Payer: Wellpoint Medicaid Managed Care	$40,483.46

OPEN CRANIOTOMY EXCEPT TRAUMA

Facility

$34,028.15

Service Code	APR-DRG 0212
Min. Negotiated Rate	$26,416.54
Max. Negotiated Rate	$34,028.15
Rate for Payer: Aetna Better Health Medicaid	$33,360.93
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$34,028.15
Rate for Payer: Wellpoint Medicaid Managed Care	$26,416.54

OPEN CRANIOTOMY EXCEPT TRAUMA

Facility

$79,160.74

Service Code	APR-DRG 0214
Min. Negotiated Rate	$70,778.84
Max. Negotiated Rate	$79,160.74
Rate for Payer: Aetna Better Health Medicaid	$77,608.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$79,160.74
Rate for Payer: Wellpoint Medicaid Managed Care	$70,778.84

OPEN CRANIOTOMY EXCEPT TRAUMA

Facility

$26,750.65

Service Code	APR-DRG 0211
Min. Negotiated Rate	$20,163.81
Max. Negotiated Rate	$26,750.65
Rate for Payer: Aetna Better Health Medicaid	$26,226.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,750.65
Rate for Payer: Wellpoint Medicaid Managed Care	$20,163.81

OPEN CRANIOTOMY FOR TRAUMA

Facility

$33,347.06

Service Code	APR-DRG 0202
Min. Negotiated Rate	$25,341.37
Max. Negotiated Rate	$33,347.06
Rate for Payer: Aetna Better Health Medicaid	$32,693.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$33,347.06
Rate for Payer: Wellpoint Medicaid Managed Care	$25,341.37

OPEN CRANIOTOMY FOR TRAUMA

Facility

$74,356.35

Service Code	APR-DRG 0204
Min. Negotiated Rate	$63,348.51
Max. Negotiated Rate	$74,356.35
Rate for Payer: Aetna Better Health Medicaid	$72,898.38
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$74,356.35
Rate for Payer: Wellpoint Medicaid Managed Care	$63,348.51

OPEN CRANIOTOMY FOR TRAUMA

Facility

$28,473.81

Service Code	APR-DRG 0201
Min. Negotiated Rate	$18,266.16
Max. Negotiated Rate	$28,473.81
Rate for Payer: Aetna Better Health Medicaid	$27,915.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,473.81
Rate for Payer: Wellpoint Medicaid Managed Care	$18,266.16

OPEN CRANIOTOMY FOR TRAUMA

Facility

$46,699.89

Service Code	APR-DRG 0203
Min. Negotiated Rate	$33,252.35
Max. Negotiated Rate	$46,699.89
Rate for Payer: Aetna Better Health Medicaid	$45,784.21
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$46,699.89
Rate for Payer: Wellpoint Medicaid Managed Care	$33,252.35

OPEN END URETERAL CATHETER

Facility

$91.00

Hospital Charge Code	270331895
Hospital Revenue Code	278
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$45.50
Rate for Payer: Aetna Commercial	$27.30
Rate for Payer: Aetna Medicare Advantage	$27.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.20
Rate for Payer: Cigna Commercial	$45.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.02
Rate for Payer: Qualcare PPO/HMO/WC	$13.65

OPEN END URETERAL CATHETER

Facility

$91.00

Hospital Charge Code	270331895
Hospital Revenue Code	278
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$22.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.02
Rate for Payer: Qualcare PPO/HMO/WC	$13.65

OPEN EXTRACRANIAL VASCULAR PROCEDURES

Facility

$14,392.07

Service Code	APR-DRG 0241
Min. Negotiated Rate	$10,972.74
Max. Negotiated Rate	$14,392.07
Rate for Payer: Aetna Better Health Medicaid	$14,109.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,392.07
Rate for Payer: Wellpoint Medicaid Managed Care	$10,972.74

OPEN EXTRACRANIAL VASCULAR PROCEDURES

Facility

$31,135.16

Service Code	APR-DRG 0243
Min. Negotiated Rate	$28,324.41
Max. Negotiated Rate	$31,135.16
Rate for Payer: Aetna Better Health Medicaid	$30,524.67
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,135.16
Rate for Payer: Wellpoint Medicaid Managed Care	$28,324.41

OPEN EXTRACRANIAL VASCULAR PROCEDURES

Facility

$60,122.99

Service Code	APR-DRG 0244
Min. Negotiated Rate	$53,995.68
Max. Negotiated Rate	$60,122.99
Rate for Payer: Aetna Better Health Medicaid	$53,995.68
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$55,075.59
Rate for Payer: Wellpoint Medicaid Managed Care	$60,122.99

OPEN EXTRACRANIAL VASCULAR PROCEDURES

Facility

$17,880.60

Service Code	APR-DRG 0242
Min. Negotiated Rate	$14,476.86
Max. Negotiated Rate	$17,880.60
Rate for Payer: Aetna Better Health Medicaid	$17,530.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,880.60
Rate for Payer: Wellpoint Medicaid Managed Care	$14,476.86

OPENGASREMOVE&REPLACESUBCUTPO

Facility

$15,874.30

Service Code	HCPCS 43888
Hospital Charge Code	1600188
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,439.01
Rate for Payer: Aetna Commercial	$4,762.29
Rate for Payer: Aetna Medicare Advantage	$4,762.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,047.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,047.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,047.95
Rate for Payer: Cigna Commercial	$8,439.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,063.66
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,381.14
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

OPENGASREMOVE&REPLACESUBCUTPO

Facility

$15,874.30

Service Code	HCPCS 43888
Hospital Charge Code	1600188
Hospital Revenue Code	361
Min. Negotiated Rate	$2,381.14
Max. Negotiated Rate	$2,381.14
Rate for Payer: Qualcare PPO/HMO/WC	$2,381.14

OPENGASRESTRICTREMOVALOFSUBCUT

Facility

$13,565.80

Service Code	HCPCS 43887
Hospital Charge Code	1600177
Hospital Revenue Code	361
Min. Negotiated Rate	$1,763.55
Max. Negotiated Rate	$4,913.48
Rate for Payer: Aetna Commercial	$4,069.74
Rate for Payer: Aetna Medicare Advantage	$4,069.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,459.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,459.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,459.28
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,763.55
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,034.87
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

OPENGASRESTRICTREMOVALOFSUBCUT

Facility

$13,565.80

Service Code	HCPCS 43887
Hospital Charge Code	1600177
Hospital Revenue Code	361
Min. Negotiated Rate	$2,034.87
Max. Negotiated Rate	$2,034.87
Rate for Payer: Qualcare PPO/HMO/WC	$2,034.87

OPENGASRESTRICT REV OFSUBCUTPT

Facility

$15,874.30

Service Code	HCPCS 43886
Hospital Charge Code	1700176
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,439.01
Rate for Payer: Aetna Commercial	$4,762.29
Rate for Payer: Aetna Medicare Advantage	$4,762.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,047.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,047.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,047.95
Rate for Payer: Cigna Commercial	$8,439.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,063.66
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,381.14
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

OPENGASRESTRICT REV OFSUBCUTPT

Facility

$15,874.30

Service Code	HCPCS 43886
Hospital Charge Code	1600176
Hospital Revenue Code	361
Min. Negotiated Rate	$2,381.14
Max. Negotiated Rate	$2,381.14
Rate for Payer: Qualcare PPO/HMO/WC	$2,381.14

OPENGASRESTRICT REV OFSUBCUTPT

Facility

$15,874.30

Service Code	HCPCS 43886
Hospital Charge Code	1700176
Hospital Revenue Code	361
Min. Negotiated Rate	$2,381.14
Max. Negotiated Rate	$2,381.14
Rate for Payer: Qualcare PPO/HMO/WC	$2,381.14

OPENGASRESTRICT REV OFSUBCUTPT

Facility

$15,874.30

Service Code	HCPCS 43886
Hospital Charge Code	1600176
Hospital Revenue Code	361
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,439.01
Rate for Payer: Aetna Commercial	$4,762.29
Rate for Payer: Aetna Medicare Advantage	$4,762.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,047.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,047.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,047.95
Rate for Payer: Cigna Commercial	$8,439.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,063.66
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,381.14
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

OPEN - INCIS BREAST BX

Facility

$23,857.69

Service Code	HCPCS 19101
Hospital Charge Code	16000314
Hospital Revenue Code	360
Min. Negotiated Rate	$3,578.65
Max. Negotiated Rate	$3,578.65
Rate for Payer: Qualcare PPO/HMO/WC	$3,578.65

OPEN - INCIS BREAST BX

Facility

$23,857.69

Service Code	HCPCS 19101
Hospital Charge Code	16000314
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$9,324.19
Rate for Payer: Aetna Commercial	$7,157.31
Rate for Payer: Aetna Medicare Advantage	$7,157.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,083.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,083.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,083.71
Rate for Payer: Cigna Commercial	$9,324.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,101.50
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,578.65
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

OPEN LAT RETINA RELEASE

Facility

$30,595.00

Service Code	HCPCS 27425
Hospital Charge Code	16000509
Hospital Revenue Code	360
Min. Negotiated Rate	$4,589.25
Max. Negotiated Rate	$4,589.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25

Know your out-of-pocket cost for care.

All Charges