Heights University Hospital

All Charges

Charge

Type

Setting

Price

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 CIRCULATORY SYSTEM DIAGNOSES

Facility

$7,260.68

Service Code	APR-DRG 2071
Min. Negotiated Rate	$4,974.28
Max. Negotiated Rate	$7,260.68
Rate for Payer: Aetna Better Health Medicaid	$7,118.31
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,260.68
Rate for Payer: Wellpoint Medicaid Managed Care	$4,974.28

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$12,830.45

Service Code	APR-DRG 2073
Min. Negotiated Rate	$9,583.76
Max. Negotiated Rate	$12,830.45
Rate for Payer: Aetna Better Health Medicaid	$12,578.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,830.45
Rate for Payer: Wellpoint Medicaid Managed Care	$9,583.76

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$22,887.22

Service Code	APR-DRG 2074
Min. Negotiated Rate	$18,689.53
Max. Negotiated Rate	$22,887.22
Rate for Payer: Aetna Better Health Medicaid	$22,438.45
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$18,689.53

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$9,065.29

Service Code	APR-DRG 2072
Min. Negotiated Rate	$6,598.96
Max. Negotiated Rate	$9,065.29
Rate for Payer: Aetna Better Health Medicaid	$8,887.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,065.29
Rate for Payer: Wellpoint Medicaid Managed Care	$6,598.96

OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC

Facility

$39,782.73

Service Code	MSDRG 315
Min. Negotiated Rate	$10,512.09
Max. Negotiated Rate	$39,782.73
Rate for Payer: Aetna Commercial	$32,482.36
Rate for Payer: Aetna Medicare Advantage	$10,512.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,739.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,739.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,260.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,739.99
Rate for Payer: Cigna Commercial	$20,731.18
Rate for Payer: Cigna Medicare Advantage	$13,260.91
Rate for Payer: Clover Medicare Advantage	$12,597.86
Rate for Payer: EmblemHealth Commercial	$39,782.73
Rate for Payer: Humana Medicare Advantage	$13,658.74
Rate for Payer: Oxford Commercial	$12,956.39
Rate for Payer: UnitedHealthcare Commercial	$14,706.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,260.91
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,056.56
Rate for Payer: Wellcare Medicare Advantage	$13,260.91

OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC

Facility

$72,346.68

Service Code	MSDRG 314
Min. Negotiated Rate	$22,754.92
Max. Negotiated Rate	$72,346.68
Rate for Payer: Aetna Commercial	$70,312.70
Rate for Payer: Aetna Medicare Advantage	$22,754.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57,615.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57,615.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,115.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57,615.03
Rate for Payer: Cigna Commercial	$44,875.59
Rate for Payer: Cigna Medicare Advantage	$24,115.56
Rate for Payer: Clover Medicare Advantage	$22,909.78
Rate for Payer: EmblemHealth Commercial	$72,346.68
Rate for Payer: Humana Medicare Advantage	$24,839.03
Rate for Payer: Oxford Commercial	$28,045.94
Rate for Payer: UnitedHealthcare Commercial	$31,834.75
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,115.56
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25,562.49
Rate for Payer: Wellcare Medicare Advantage	$24,115.56

OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$31,620.69

Service Code	MSDRG 316
Min. Negotiated Rate	$7,443.47
Max. Negotiated Rate	$31,620.69
Rate for Payer: Aetna Commercial	$23,000.32
Rate for Payer: Aetna Medicare Advantage	$7,443.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,021.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,021.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,540.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,021.23
Rate for Payer: Cigna Commercial	$14,679.47
Rate for Payer: Cigna Medicare Advantage	$10,540.23
Rate for Payer: Clover Medicare Advantage	$10,013.22
Rate for Payer: EmblemHealth Commercial	$31,620.69
Rate for Payer: Humana Medicare Advantage	$10,856.44
Rate for Payer: Oxford Commercial	$9,174.25
Rate for Payer: UnitedHealthcare Commercial	$10,413.62
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,540.23
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,172.64
Rate for Payer: Wellcare Medicare Advantage	$10,540.23

OTHER CIRCULATORY SYSTEM O.R. PROCEDURES

Facility

$112,644.62

Service Code	MSDRG 264
Min. Negotiated Rate	$34,448.78
Max. Negotiated Rate	$112,644.62
Rate for Payer: Aetna Commercial	$112,644.62
Rate for Payer: Aetna Medicare Advantage	$36,454.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90,144.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90,144.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$36,261.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90,144.09
Rate for Payer: Cigna Commercial	$71,893.05
Rate for Payer: Cigna Medicare Advantage	$36,261.87
Rate for Payer: Clover Medicare Advantage	$34,448.78
Rate for Payer: EmblemHealth Commercial	$108,785.61
Rate for Payer: Humana Medicare Advantage	$37,349.73
Rate for Payer: Oxford Commercial	$44,931.07
Rate for Payer: UnitedHealthcare Commercial	$51,000.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$36,261.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$38,437.58
Rate for Payer: Wellcare Medicare Advantage	$36,261.87

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$27,722.48

Service Code	APR-DRG 1803
Min. Negotiated Rate	$22,116.99
Max. Negotiated Rate	$27,722.48
Rate for Payer: Aetna Better Health Medicaid	$27,178.90
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,722.48
Rate for Payer: Wellpoint Medicaid Managed Care	$22,116.99

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$48,372.53

Service Code	APR-DRG 1804
Min. Negotiated Rate	$38,791.08
Max. Negotiated Rate	$48,372.53
Rate for Payer: Aetna Better Health Medicaid	$47,424.05
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$48,372.53
Rate for Payer: Wellpoint Medicaid Managed Care	$38,791.08

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$19,926.75

Service Code	APR-DRG 1802
Min. Negotiated Rate	$14,432.09
Max. Negotiated Rate	$19,926.75
Rate for Payer: Aetna Better Health Medicaid	$19,536.03
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,926.75
Rate for Payer: Wellpoint Medicaid Managed Care	$14,432.09

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$16,223.40

Service Code	APR-DRG 1801
Min. Negotiated Rate	$11,421.76
Max. Negotiated Rate	$16,223.40
Rate for Payer: Aetna Better Health Medicaid	$15,905.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,223.40
Rate for Payer: Wellpoint Medicaid Managed Care	$11,421.76

OTHER COMPLICATIONS OF TREATMENT

Facility

$23,777.59

Service Code	APR-DRG 8134
Min. Negotiated Rate	$21,546.68
Max. Negotiated Rate	$23,777.59
Rate for Payer: Aetna Better Health Medicaid	$23,311.36
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,777.59
Rate for Payer: Wellpoint Medicaid Managed Care	$21,546.68

OTHER COMPLICATIONS OF TREATMENT

Facility

$13,394.98

Service Code	APR-DRG 8133
Min. Negotiated Rate	$9,795.75
Max. Negotiated Rate	$13,394.98
Rate for Payer: Aetna Better Health Medicaid	$13,132.33
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,394.98
Rate for Payer: Wellpoint Medicaid Managed Care	$9,795.75

OTHER COMPLICATIONS OF TREATMENT

Facility

$9,211.31

Service Code	APR-DRG 8132
Min. Negotiated Rate	$6,361.02
Max. Negotiated Rate	$9,211.31
Rate for Payer: Aetna Better Health Medicaid	$9,030.70
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,211.31
Rate for Payer: Wellpoint Medicaid Managed Care	$6,361.02

OTHER COMPLICATIONS OF TREATMENT

Facility

$7,604.71

Service Code	APR-DRG 8131
Min. Negotiated Rate	$4,826.30
Max. Negotiated Rate	$7,604.71
Rate for Payer: Aetna Better Health Medicaid	$7,455.60
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,604.71
Rate for Payer: Wellpoint Medicaid Managed Care	$4,826.30

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$31,805.03

Service Code	APR-DRG 2293
Min. Negotiated Rate	$23,482.98
Max. Negotiated Rate	$31,805.03
Rate for Payer: Aetna Better Health Medicaid	$31,181.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,805.03
Rate for Payer: Wellpoint Medicaid Managed Care	$23,482.98

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$54,424.00

Service Code	APR-DRG 2294
Min. Negotiated Rate	$48,739.04
Max. Negotiated Rate	$54,424.00
Rate for Payer: Aetna Better Health Medicaid	$53,356.86
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$54,424.00
Rate for Payer: Wellpoint Medicaid Managed Care	$48,739.04

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$15,476.30

Service Code	APR-DRG 2291
Min. Negotiated Rate	$10,449.49
Max. Negotiated Rate	$15,476.30
Rate for Payer: Aetna Better Health Medicaid	$15,172.84
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,476.30
Rate for Payer: Wellpoint Medicaid Managed Care	$10,449.49

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$21,168.21

Service Code	APR-DRG 2292
Min. Negotiated Rate	$14,414.85
Max. Negotiated Rate	$21,168.21
Rate for Payer: Aetna Better Health Medicaid	$20,753.15
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,168.21
Rate for Payer: Wellpoint Medicaid Managed Care	$14,414.85

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$13,490.49

Service Code	APR-DRG 2543
Min. Negotiated Rate	$9,448.12
Max. Negotiated Rate	$13,490.49
Rate for Payer: Aetna Better Health Medicaid	$13,225.97
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,490.49
Rate for Payer: Wellpoint Medicaid Managed Care	$9,448.12

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$23,568.30

Service Code	APR-DRG 2544
Min. Negotiated Rate	$20,260.91
Max. Negotiated Rate	$23,568.30
Rate for Payer: Aetna Better Health Medicaid	$23,106.18
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,568.30
Rate for Payer: Wellpoint Medicaid Managed Care	$20,260.91

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$9,325.11

Service Code	APR-DRG 2542
Min. Negotiated Rate	$6,500.77
Max. Negotiated Rate	$9,325.11
Rate for Payer: Aetna Better Health Medicaid	$9,142.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,325.11
Rate for Payer: Wellpoint Medicaid Managed Care	$6,500.77

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$6,792.97

Service Code	APR-DRG 2541
Min. Negotiated Rate	$4,869.62
Max. Negotiated Rate	$6,792.97
Rate for Payer: Aetna Better Health Medicaid	$6,659.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,792.97
Rate for Payer: Wellpoint Medicaid Managed Care	$4,869.62

Know your out-of-pocket cost for care.

All Charges