Heights University Hospital

All Charges

Charge

Type

Setting

Price

OR MAJOR EACH ADD'L HOUR

Facility

$2,211.34

Hospital Charge Code	1600097
Hospital Revenue Code	360
Min. Negotiated Rate	$287.47
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$663.40
Rate for Payer: Aetna Medicare Advantage	$663.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$563.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$563.89
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	$563.89
Rate for Payer: Cigna Commercial	$1,105.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$287.47
Rate for Payer: Qualcare PPO/HMO/WC	$331.70

*****OR MINOR 1 1/2 TO 2 HRS

Facility

$1,631.00

Hospital Charge Code	1600139
Hospital Revenue Code	361
Min. Negotiated Rate	$212.03
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$489.30
Rate for Payer: Aetna Medicare Advantage	$489.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$415.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$415.90
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	$415.90
Rate for Payer: Cigna Commercial	$815.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.03
Rate for Payer: Qualcare PPO/HMO/WC	$244.65

*****OR MINOR 1 1/2 TO 2 HRS

Facility

$1,631.00

Hospital Charge Code	1600139
Hospital Revenue Code	361
Min. Negotiated Rate	$244.65
Max. Negotiated Rate	$244.65
Rate for Payer: Qualcare PPO/HMO/WC	$244.65

*****OR MINOR 1/2 TO 1 HOUR

Facility

$1,027.00

Hospital Charge Code	1600113
Hospital Revenue Code	361
Min. Negotiated Rate	$154.05
Max. Negotiated Rate	$154.05
Rate for Payer: Qualcare PPO/HMO/WC	$154.05

*****OR MINOR 1/2 TO 1 HOUR

Facility

$1,027.00

Hospital Charge Code	1600113
Hospital Revenue Code	361
Min. Negotiated Rate	$133.51
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$308.10
Rate for Payer: Aetna Medicare Advantage	$308.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.88
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	$261.88
Rate for Payer: Cigna Commercial	$513.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.51
Rate for Payer: Qualcare PPO/HMO/WC	$154.05

*****OR MINOR 1 TO 1 1/2 HR

Facility

$1,446.00

Hospital Charge Code	1600121
Hospital Revenue Code	361
Min. Negotiated Rate	$187.98
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$433.80
Rate for Payer: Aetna Medicare Advantage	$433.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$368.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$368.73
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	$368.73
Rate for Payer: Cigna Commercial	$723.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.98
Rate for Payer: Qualcare PPO/HMO/WC	$216.90

*****OR MINOR 1 TO 1 1/2 HR

Facility

$1,446.00

Hospital Charge Code	1600121
Hospital Revenue Code	361
Min. Negotiated Rate	$216.90
Max. Negotiated Rate	$216.90
Rate for Payer: Qualcare PPO/HMO/WC	$216.90

***OR MINOR OVER 2 TO 2 1/2 HR

Facility

$2,105.00

Hospital Charge Code	1600147
Hospital Revenue Code	361
Min. Negotiated Rate	$315.75
Max. Negotiated Rate	$315.75
Rate for Payer: Qualcare PPO/HMO/WC	$315.75

***OR MINOR OVER 2 TO 2 1/2 HR

Facility

$2,105.00

Hospital Charge Code	1600147
Hospital Revenue Code	361
Min. Negotiated Rate	$273.65
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$631.50
Rate for Payer: Aetna Medicare Advantage	$631.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$536.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$536.77
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	$536.77
Rate for Payer: Cigna Commercial	$1,052.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.65
Rate for Payer: Qualcare PPO/HMO/WC	$315.75

ORNADE 75-12/CAP

Facility

$6.00

Hospital Charge Code	60633585
Hospital Revenue Code	250
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$1.80
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.78
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$3.00

ORNADE 75-12/CAP

Facility

$6.00

Hospital Charge Code	60633584
Hospital Revenue Code	250
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$1.80
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.78
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$3.00

ORNADE 75-12/CAP

Facility

$6.00

Hospital Charge Code	60633584
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

ORNADE 75-12/CAP

Facility

$6.00

Hospital Charge Code	60633583
Hospital Revenue Code	250
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$1.80
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.78
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$3.00

ORNADE 75-12/CAP

Facility

$6.00

Hospital Charge Code	60633585
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

ORNADE 75-12/CAP

Facility

$6.00

Hospital Charge Code	60633583
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

ORNEX/TAB

Facility

$3.00

Hospital Charge Code	60633586
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ORNEX/TAB

Facility

$3.00

Hospital Charge Code	60633586
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

ORPHENADRINE 100 MG ER

Facility

$12.85

Hospital Charge Code	6010037
Hospital Revenue Code	251
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.93

ORPHENADRINE 100 MG ER

Facility

$12.85

Hospital Charge Code	6010037
Hospital Revenue Code	251
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$6.42
Rate for Payer: Aetna Commercial	$3.85
Rate for Payer: Aetna Medicare Advantage	$3.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.28
Rate for Payer: Cigna Commercial	$6.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.67
Rate for Payer: Oxford Commercial	$6.42
Rate for Payer: Qualcare PPO/HMO/WC	$1.93
Rate for Payer: UnitedHealthcare Commercial	$6.42

OR PLASTIC SURGERY HOUR CHARGE

Facility

$960.00

Hospital Charge Code	1600172
Hospital Revenue Code	360
Min. Negotiated Rate	$144.00
Max. Negotiated Rate	$144.00
Rate for Payer: Qualcare PPO/HMO/WC	$144.00

OR PLASTIC SURGERY HOUR CHARGE

Facility

$960.00

Hospital Charge Code	1600172
Hospital Revenue Code	360
Min. Negotiated Rate	$124.80
Max. Negotiated Rate	$1,864.00
Rate for Payer: Aetna Commercial	$288.00
Rate for Payer: Aetna Medicare Advantage	$288.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.80
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	$244.80
Rate for Payer: Cigna Commercial	$480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.80
Rate for Payer: Qualcare PPO/HMO/WC	$144.00

O.R. PROCEDURES FOR OBESITY WITH CC

Facility

$58,272.12

Service Code	MSDRG 620
Min. Negotiated Rate	$17,463.41
Max. Negotiated Rate	$58,272.12
Rate for Payer: Aetna Commercial	$53,961.94
Rate for Payer: Aetna Medicare Advantage	$17,463.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,658.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,658.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,424.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,658.54
Rate for Payer: Cigna Commercial	$34,440.06
Rate for Payer: Cigna Medicare Advantage	$19,424.04
Rate for Payer: Clover Medicare Advantage	$18,452.84
Rate for Payer: EmblemHealth Commercial	$58,272.12
Rate for Payer: Humana Medicare Advantage	$20,006.76
Rate for Payer: Oxford Commercial	$21,524.03
Rate for Payer: UnitedHealthcare Commercial	$24,431.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,424.04
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,589.48
Rate for Payer: Wellcare Medicare Advantage	$19,424.04

O.R. PROCEDURES FOR OBESITY WITH MCC

Facility

$97,362.78

Service Code	MSDRG 619
Min. Negotiated Rate	$30,283.20
Max. Negotiated Rate	$97,362.78
Rate for Payer: Aetna Commercial	$97,362.78
Rate for Payer: Aetna Medicare Advantage	$31,508.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71,674.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71,674.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$31,877.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71,674.20
Rate for Payer: Cigna Commercial	$62,139.74
Rate for Payer: Cigna Medicare Advantage	$31,877.05
Rate for Payer: Clover Medicare Advantage	$30,283.20
Rate for Payer: EmblemHealth Commercial	$95,631.15
Rate for Payer: Humana Medicare Advantage	$32,833.36
Rate for Payer: Oxford Commercial	$38,835.53
Rate for Payer: UnitedHealthcare Commercial	$44,081.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$31,877.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$33,789.67
Rate for Payer: Wellcare Medicare Advantage	$31,877.05

O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC

Facility

$55,604.64

Service Code	MSDRG 621
Min. Negotiated Rate	$16,460.54
Max. Negotiated Rate	$55,604.64
Rate for Payer: Aetna Commercial	$50,863.07
Rate for Payer: Aetna Medicare Advantage	$16,460.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,901.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,901.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,534.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,901.84
Rate for Payer: Cigna Commercial	$32,462.28
Rate for Payer: Cigna Medicare Advantage	$18,534.88
Rate for Payer: Clover Medicare Advantage	$17,608.14
Rate for Payer: EmblemHealth Commercial	$55,604.64
Rate for Payer: Humana Medicare Advantage	$19,090.93
Rate for Payer: Oxford Commercial	$20,287.98
Rate for Payer: UnitedHealthcare Commercial	$23,028.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,534.88
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,646.97
Rate for Payer: Wellcare Medicare Advantage	$18,534.88

O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC

Facility

$79,652.46

Service Code	MSDRG 940
Min. Negotiated Rate	$25,223.28
Max. Negotiated Rate	$79,652.46
Rate for Payer: Aetna Commercial	$78,799.97
Rate for Payer: Aetna Medicare Advantage	$25,501.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59,820.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59,820.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26,550.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59,820.39
Rate for Payer: Cigna Commercial	$50,292.42
Rate for Payer: Cigna Medicare Advantage	$26,550.82
Rate for Payer: Clover Medicare Advantage	$25,223.28
Rate for Payer: EmblemHealth Commercial	$79,652.46
Rate for Payer: Humana Medicare Advantage	$27,347.34
Rate for Payer: Oxford Commercial	$31,431.31
Rate for Payer: UnitedHealthcare Commercial	$35,677.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$26,550.82
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$28,143.87
Rate for Payer: Wellcare Medicare Advantage	$26,550.82

Know your out-of-pocket cost for care.

All Charges