Heights University Hospital

All Charges

Charge

Type

Setting

Price

OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC

Facility

$78,047.34

Service Code	MSDRG 817
Min. Negotiated Rate	$22,703.60
Max. Negotiated Rate	$78,047.34
Rate for Payer: Aetna Commercial	$76,935.28
Rate for Payer: Aetna Medicare Advantage	$24,898.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77,738.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77,738.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26,015.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77,738.94
Rate for Payer: Cigna Commercial	$36,327.45
Rate for Payer: Cigna Medicare Advantage	$26,015.78
Rate for Payer: Clover Medicare Advantage	$24,714.99
Rate for Payer: EmblemHealth Commercial	$78,047.34
Rate for Payer: Humana Medicare Advantage	$26,796.25
Rate for Payer: Oxford Commercial	$22,703.60
Rate for Payer: UnitedHealthcare Commercial	$25,770.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$26,015.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$27,576.73
Rate for Payer: Wellcare Medicare Advantage	$26,015.78

OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC

Facility

$36,781.44

Service Code	MSDRG 819
Min. Negotiated Rate	$9,383.73
Max. Negotiated Rate	$36,781.44
Rate for Payer: Aetna Commercial	$28,995.73
Rate for Payer: Aetna Medicare Advantage	$9,383.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,085.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,085.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,260.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,085.97
Rate for Payer: Cigna Commercial	$18,505.91
Rate for Payer: Cigna Medicare Advantage	$12,260.48
Rate for Payer: Clover Medicare Advantage	$11,647.46
Rate for Payer: EmblemHealth Commercial	$36,781.44
Rate for Payer: Humana Medicare Advantage	$12,628.29
Rate for Payer: Oxford Commercial	$11,565.66
Rate for Payer: UnitedHealthcare Commercial	$13,128.09
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,260.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12,996.11
Rate for Payer: Wellcare Medicare Advantage	$12,260.48

OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC

Facility

$32,767.20

Service Code	MSDRG 832
Min. Negotiated Rate	$7,874.52
Max. Negotiated Rate	$32,767.20
Rate for Payer: Aetna Commercial	$24,332.27
Rate for Payer: Aetna Medicare Advantage	$7,874.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,399.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,399.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,922.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,399.58
Rate for Payer: Cigna Commercial	$15,529.55
Rate for Payer: Cigna Medicare Advantage	$10,922.40
Rate for Payer: Clover Medicare Advantage	$10,376.28
Rate for Payer: EmblemHealth Commercial	$32,767.20
Rate for Payer: Humana Medicare Advantage	$11,250.07
Rate for Payer: Oxford Commercial	$9,705.52
Rate for Payer: UnitedHealthcare Commercial	$11,016.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,922.40
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,577.74
Rate for Payer: Wellcare Medicare Advantage	$10,922.40

OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC

Facility

$46,725.66

Service Code	MSDRG 831
Min. Negotiated Rate	$13,122.38
Max. Negotiated Rate	$46,725.66
Rate for Payer: Aetna Commercial	$40,548.15
Rate for Payer: Aetna Medicare Advantage	$13,122.38
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	$15,575.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29,772.36
Rate for Payer: Cigna Commercial	$25,879.00
Rate for Payer: Cigna Medicare Advantage	$15,575.22
Rate for Payer: Clover Medicare Advantage	$14,796.46
Rate for Payer: EmblemHealth Commercial	$46,725.66
Rate for Payer: Humana Medicare Advantage	$16,042.48
Rate for Payer: Oxford Commercial	$16,173.62
Rate for Payer: UnitedHealthcare Commercial	$18,358.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,575.22
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16,509.73
Rate for Payer: Wellcare Medicare Advantage	$15,575.22

OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC

Facility

$26,999.79

Service Code	MSDRG 833
Min. Negotiated Rate	$5,706.19
Max. Negotiated Rate	$26,999.79
Rate for Payer: Aetna Commercial	$17,632.13
Rate for Payer: Aetna Medicare Advantage	$5,706.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,059.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,059.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,999.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,059.17
Rate for Payer: Cigna Commercial	$11,253.33
Rate for Payer: Cigna Medicare Advantage	$8,999.93
Rate for Payer: Clover Medicare Advantage	$8,549.93
Rate for Payer: EmblemHealth Commercial	$26,999.79
Rate for Payer: Humana Medicare Advantage	$9,269.93
Rate for Payer: Oxford Commercial	$7,033.01
Rate for Payer: UnitedHealthcare Commercial	$7,983.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,999.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9,539.93
Rate for Payer: Wellcare Medicare Advantage	$8,999.93

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$26,020.36

Service Code	APR-DRG 3474
Min. Negotiated Rate	$23,383.34
Max. Negotiated Rate	$26,020.36
Rate for Payer: Aetna Better Health Medicaid	$25,510.16
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,020.36
Rate for Payer: Wellpoint Medicaid Managed Care	$23,383.34

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$8,165.10

Service Code	APR-DRG 3471
Min. Negotiated Rate	$5,824.52
Max. Negotiated Rate	$8,165.10
Rate for Payer: Aetna Better Health Medicaid	$8,005.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,165.10
Rate for Payer: Wellpoint Medicaid Managed Care	$5,824.52

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$14,196.90

Service Code	APR-DRG 3473
Min. Negotiated Rate	$9,863.38
Max. Negotiated Rate	$14,196.90
Rate for Payer: Aetna Better Health Medicaid	$13,918.53
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,196.90
Rate for Payer: Wellpoint Medicaid Managed Care	$9,863.38

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$10,346.06

Service Code	APR-DRG 3472
Min. Negotiated Rate	$7,189.79
Max. Negotiated Rate	$10,346.06
Rate for Payer: Aetna Better Health Medicaid	$10,143.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,346.06
Rate for Payer: Wellpoint Medicaid Managed Care	$7,189.79

OTHER BLADDER PROCEDURES

Facility

$13,390.75

Service Code	APR-DRG 4451
Min. Negotiated Rate	$8,851.43
Max. Negotiated Rate	$13,390.75
Rate for Payer: Aetna Better Health Medicaid	$13,128.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,390.75
Rate for Payer: Wellpoint Medicaid Managed Care	$8,851.43

OTHER BLADDER PROCEDURES

Facility

$23,064.19

Service Code	APR-DRG 4453
Min. Negotiated Rate	$15,748.95
Max. Negotiated Rate	$23,064.19
Rate for Payer: Aetna Better Health Medicaid	$22,611.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,064.19
Rate for Payer: Wellpoint Medicaid Managed Care	$15,748.95

OTHER BLADDER PROCEDURES

Facility

$16,415.80

Service Code	APR-DRG 4452
Min. Negotiated Rate	$12,096.68
Max. Negotiated Rate	$16,415.80
Rate for Payer: Aetna Better Health Medicaid	$16,093.92
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,415.80
Rate for Payer: Wellpoint Medicaid Managed Care	$12,096.68

OTHER BLADDER PROCEDURES

Facility

$44,059.65

Service Code	APR-DRG 4454
Min. Negotiated Rate	$32,682.04
Max. Negotiated Rate	$44,059.65
Rate for Payer: Aetna Better Health Medicaid	$43,195.74
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$44,059.65
Rate for Payer: Wellpoint Medicaid Managed Care	$32,682.04

OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$39,833.85

Service Code	APR-DRG 1671
Min. Negotiated Rate	$28,176.19
Max. Negotiated Rate	$39,833.85
Rate for Payer: Aetna Better Health Medicaid	$39,052.79
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$39,833.85
Rate for Payer: Wellpoint Medicaid Managed Care	$28,176.19

OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$102,296.57

Service Code	APR-DRG 1674
Min. Negotiated Rate	$75,011.48
Max. Negotiated Rate	$102,296.57
Rate for Payer: Aetna Better Health Medicaid	$100,290.75
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$102,296.57
Rate for Payer: Wellpoint Medicaid Managed Care	$75,011.48

OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$61,885.44

Service Code	APR-DRG 1673
Min. Negotiated Rate	$42,796.97
Max. Negotiated Rate	$61,885.44
Rate for Payer: Aetna Better Health Medicaid	$60,672.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$61,885.44
Rate for Payer: Wellpoint Medicaid Managed Care	$42,796.97

OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$41,776.12

Service Code	APR-DRG 1672
Min. Negotiated Rate	$31,406.31
Max. Negotiated Rate	$41,776.12
Rate for Payer: Aetna Better Health Medicaid	$40,956.98
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$41,776.12
Rate for Payer: Wellpoint Medicaid Managed Care	$31,406.31

OTHER CARDIOTHORACIC PROCEDURES WITH MCC

Facility

$166,825.73

Service Code	MSDRG 228
Min. Negotiated Rate	$49,217.66
Max. Negotiated Rate	$166,825.73
Rate for Payer: Aetna Commercial	$166,825.73
Rate for Payer: Aetna Medicare Advantage	$53,988.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138,937.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138,937.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$51,808.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138,937.68
Rate for Payer: Cigna Commercial	$106,473.00
Rate for Payer: Cigna Medicare Advantage	$51,808.06
Rate for Payer: Clover Medicare Advantage	$49,217.66
Rate for Payer: EmblemHealth Commercial	$155,424.18
Rate for Payer: Humana Medicare Advantage	$53,362.30
Rate for Payer: Oxford Commercial	$66,542.53
Rate for Payer: UnitedHealthcare Commercial	$75,531.96
Rate for Payer: UnitedHealthcare Medicare Advantage	$51,808.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$54,916.54
Rate for Payer: Wellcare Medicare Advantage	$51,808.06

OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC

Facility

$106,200.77

Service Code	MSDRG 229
Min. Negotiated Rate	$32,692.28
Max. Negotiated Rate	$106,200.77
Rate for Payer: Aetna Commercial	$106,200.77
Rate for Payer: Aetna Medicare Advantage	$34,369.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87,663.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87,663.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34,412.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87,663.06
Rate for Payer: Cigna Commercial	$67,780.39
Rate for Payer: Cigna Medicare Advantage	$34,412.93
Rate for Payer: Clover Medicare Advantage	$32,692.28
Rate for Payer: EmblemHealth Commercial	$103,238.79
Rate for Payer: Humana Medicare Advantage	$35,445.32
Rate for Payer: Oxford Commercial	$42,360.78
Rate for Payer: UnitedHealthcare Commercial	$48,083.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$34,412.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$36,477.71
Rate for Payer: Wellcare Medicare Advantage	$34,412.93

OTHER CEREBROVASCULAR DISORDERS WITH CC

Facility

$41,602.62

Service Code	MSDRG 071
Min. Negotiated Rate	$11,196.31
Max. Negotiated Rate	$41,602.62
Rate for Payer: Aetna Commercial	$34,596.60
Rate for Payer: Aetna Medicare Advantage	$11,196.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,867.54
Rate for Payer: Cigna Medicare Advantage	$13,867.54
Rate for Payer: Clover Medicare Advantage	$13,174.16
Rate for Payer: EmblemHealth Commercial	$41,602.62
Rate for Payer: Humana Medicare Advantage	$14,283.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,867.54
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,699.59
Rate for Payer: Wellcare Medicare Advantage	$13,867.54

OTHER CEREBROVASCULAR DISORDERS WITH MCC

Facility

$60,144.27

Service Code	MSDRG 070
Min. Negotiated Rate	$18,167.27
Max. Negotiated Rate	$60,144.27
Rate for Payer: Aetna Commercial	$56,136.86
Rate for Payer: Aetna Medicare Advantage	$18,167.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,048.09
Rate for Payer: Cigna Medicare Advantage	$20,048.09
Rate for Payer: Clover Medicare Advantage	$19,045.69
Rate for Payer: EmblemHealth Commercial	$60,144.27
Rate for Payer: Humana Medicare Advantage	$20,649.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,048.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,250.98
Rate for Payer: Wellcare Medicare Advantage	$20,048.09

OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC

Facility

$33,771.48

Service Code	MSDRG 072
Min. Negotiated Rate	$8,252.10
Max. Negotiated Rate	$33,771.48
Rate for Payer: Aetna Commercial	$25,498.99
Rate for Payer: Aetna Medicare Advantage	$8,252.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,257.16
Rate for Payer: Cigna Medicare Advantage	$11,257.16
Rate for Payer: Clover Medicare Advantage	$10,694.30
Rate for Payer: EmblemHealth Commercial	$33,771.48
Rate for Payer: Humana Medicare Advantage	$11,594.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,257.16
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,932.59
Rate for Payer: Wellcare Medicare Advantage	$11,257.16

OTHER CHEMOTHERAPY

Facility

$16,088.58

Service Code	APR-DRG 6963
Min. Negotiated Rate	$14,481.88
Max. Negotiated Rate	$16,088.58
Rate for Payer: Aetna Better Health Medicaid	$15,773.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,088.58
Rate for Payer: Wellpoint Medicaid Managed Care	$14,481.88

OTHER CHEMOTHERAPY

Facility

$34,170.23

Service Code	APR-DRG 6964
Min. Negotiated Rate	$32,229.16
Max. Negotiated Rate	$34,170.23
Rate for Payer: Aetna Better Health Medicaid	$32,229.16
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$32,873.74
Rate for Payer: Wellpoint Medicaid Managed Care	$34,170.23

OTHER CHEMOTHERAPY

Facility

$8,545.67

Service Code	APR-DRG 6961
Min. Negotiated Rate	$7,758.77
Max. Negotiated Rate	$8,545.67
Rate for Payer: Aetna Better Health Medicaid	$8,378.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,545.67
Rate for Payer: Wellpoint Medicaid Managed Care	$7,758.77

Know your out-of-pocket cost for care.

All Charges