Heights University Hospital

All Charges

Charge

Type

Setting

Price

OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC

Facility

$38,981.61

Service Code	MSDRG 394
Min. Negotiated Rate	$10,210.90
Max. Negotiated Rate	$38,981.61
Rate for Payer: Aetna Commercial	$31,551.68
Rate for Payer: Aetna Medicare Advantage	$10,210.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,912.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,912.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,993.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,912.98
Rate for Payer: Cigna Commercial	$20,137.20
Rate for Payer: Cigna Medicare Advantage	$12,993.87
Rate for Payer: Clover Medicare Advantage	$12,344.18
Rate for Payer: EmblemHealth Commercial	$38,981.61
Rate for Payer: Humana Medicare Advantage	$13,383.69
Rate for Payer: Oxford Commercial	$12,585.17
Rate for Payer: UnitedHealthcare Commercial	$14,285.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,993.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13,773.50
Rate for Payer: Wellcare Medicare Advantage	$12,993.87

OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC

Facility

$58,243.08

Service Code	MSDRG 393
Min. Negotiated Rate	$17,452.49
Max. Negotiated Rate	$58,243.08
Rate for Payer: Aetna Commercial	$53,928.19
Rate for Payer: Aetna Medicare Advantage	$17,452.49
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	$19,414.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,658.54
Rate for Payer: Cigna Commercial	$34,418.54
Rate for Payer: Cigna Medicare Advantage	$19,414.36
Rate for Payer: Clover Medicare Advantage	$18,443.64
Rate for Payer: EmblemHealth Commercial	$58,243.08
Rate for Payer: Humana Medicare Advantage	$19,996.79
Rate for Payer: Oxford Commercial	$21,510.58
Rate for Payer: UnitedHealthcare Commercial	$24,416.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,414.36
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,579.22
Rate for Payer: Wellcare Medicare Advantage	$19,414.36

OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$30,659.94

Service Code	MSDRG 395
Min. Negotiated Rate	$7,082.27
Max. Negotiated Rate	$30,659.94
Rate for Payer: Aetna Commercial	$21,884.21
Rate for Payer: Aetna Medicare Advantage	$7,082.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17,918.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17,918.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,219.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17,918.55
Rate for Payer: Cigna Commercial	$13,967.13
Rate for Payer: Cigna Medicare Advantage	$10,219.98
Rate for Payer: Clover Medicare Advantage	$9,708.98
Rate for Payer: EmblemHealth Commercial	$30,659.94
Rate for Payer: Humana Medicare Advantage	$10,526.58
Rate for Payer: Oxford Commercial	$8,729.05
Rate for Payer: UnitedHealthcare Commercial	$9,908.28
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,219.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10,833.18
Rate for Payer: Wellcare Medicare Advantage	$10,219.98

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC

Facility

$79,321.59

Service Code	MSDRG 357
Min. Negotiated Rate	$25,118.50
Max. Negotiated Rate	$79,321.59
Rate for Payer: Cigna Commercial	$50,047.09
Rate for Payer: Aetna Commercial	$78,415.58
Rate for Payer: Aetna Medicare Advantage	$25,377.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60,647.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60,647.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26,440.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60,647.40
Rate for Payer: Cigna Medicare Advantage	$26,440.53
Rate for Payer: Clover Medicare Advantage	$25,118.50
Rate for Payer: EmblemHealth Commercial	$79,321.59
Rate for Payer: Humana Medicare Advantage	$27,233.75
Rate for Payer: Oxford Commercial	$31,277.97
Rate for Payer: UnitedHealthcare Commercial	$35,503.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$26,440.53
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$28,026.96
Rate for Payer: Wellcare Medicare Advantage	$26,440.53

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC

Facility

$148,124.68

Service Code	MSDRG 356
Min. Negotiated Rate	$44,120.05
Max. Negotiated Rate	$148,124.68
Rate for Payer: Aetna Commercial	$148,124.68
Rate for Payer: Aetna Medicare Advantage	$47,936.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117,986.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117,986.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$46,442.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117,986.76
Rate for Payer: Cigna Commercial	$94,537.45
Rate for Payer: Cigna Medicare Advantage	$46,442.16
Rate for Payer: Clover Medicare Advantage	$44,120.05
Rate for Payer: EmblemHealth Commercial	$139,326.48
Rate for Payer: Humana Medicare Advantage	$47,835.42
Rate for Payer: Oxford Commercial	$59,083.16
Rate for Payer: UnitedHealthcare Commercial	$67,064.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$46,442.16
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$49,228.69
Rate for Payer: Wellcare Medicare Advantage	$46,442.16

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

Facility

$52,397.31

Service Code	MSDRG 358
Min. Negotiated Rate	$15,254.70
Max. Negotiated Rate	$52,397.31
Rate for Payer: Aetna Commercial	$47,137.02
Rate for Payer: Aetna Medicare Advantage	$15,254.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35,285.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35,285.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,465.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35,285.76
Rate for Payer: Cigna Commercial	$30,084.21
Rate for Payer: Cigna Medicare Advantage	$17,465.77
Rate for Payer: Clover Medicare Advantage	$16,592.48
Rate for Payer: EmblemHealth Commercial	$52,397.31
Rate for Payer: Humana Medicare Advantage	$17,989.74
Rate for Payer: Oxford Commercial	$18,801.76
Rate for Payer: UnitedHealthcare Commercial	$21,341.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,465.77
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18,513.72
Rate for Payer: Wellcare Medicare Advantage	$17,465.77

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$10,640.96

Service Code	APR-DRG 0581
Min. Negotiated Rate	$6,071.66
Max. Negotiated Rate	$10,640.96
Rate for Payer: Aetna Better Health Medicaid	$10,432.31
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,640.96
Rate for Payer: Wellpoint Medicaid Managed Care	$6,071.66

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$25,788.65

Service Code	APR-DRG 0584
Min. Negotiated Rate	$23,925.16
Max. Negotiated Rate	$25,788.65
Rate for Payer: Aetna Better Health Medicaid	$25,282.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,788.65
Rate for Payer: Wellpoint Medicaid Managed Care	$23,925.16

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$18,529.43

Service Code	APR-DRG 0583
Min. Negotiated Rate	$10,367.88
Max. Negotiated Rate	$18,529.43
Rate for Payer: Aetna Better Health Medicaid	$18,166.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,529.43
Rate for Payer: Wellpoint Medicaid Managed Care	$10,367.88

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$14,340.17

Service Code	APR-DRG 0582
Min. Negotiated Rate	$7,532.51
Max. Negotiated Rate	$14,340.17
Rate for Payer: Aetna Better Health Medicaid	$14,058.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,340.17
Rate for Payer: Wellpoint Medicaid Managed Care	$7,532.51

OTHER DISORDERS OF NERVOUS SYSTEM WITH CC

Facility

$41,515.56

Service Code	MSDRG 092
Min. Negotiated Rate	$11,163.57
Max. Negotiated Rate	$41,515.56
Rate for Payer: Aetna Commercial	$34,495.43
Rate for Payer: Aetna Medicare Advantage	$11,163.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,394.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,394.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,838.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,394.01
Rate for Payer: Cigna Medicare Advantage	$13,838.52
Rate for Payer: Clover Medicare Advantage	$13,146.59
Rate for Payer: EmblemHealth Commercial	$41,515.56
Rate for Payer: Humana Medicare Advantage	$14,253.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,838.52
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,668.83
Rate for Payer: Wellcare Medicare Advantage	$13,838.52

OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC

Facility

$62,797.23

Service Code	MSDRG 091
Min. Negotiated Rate	$19,164.68
Max. Negotiated Rate	$62,797.23
Rate for Payer: Aetna Commercial	$59,218.86
Rate for Payer: Aetna Medicare Advantage	$19,164.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,344.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,344.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,932.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,344.93
Rate for Payer: Cigna Medicare Advantage	$20,932.41
Rate for Payer: Clover Medicare Advantage	$19,885.79
Rate for Payer: EmblemHealth Commercial	$62,797.23
Rate for Payer: Humana Medicare Advantage	$21,560.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,932.41
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,188.35
Rate for Payer: Wellcare Medicare Advantage	$20,932.41

OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC

Facility

$34,935.42

Service Code	MSDRG 093
Min. Negotiated Rate	$8,689.69
Max. Negotiated Rate	$34,935.42
Rate for Payer: Aetna Commercial	$26,851.14
Rate for Payer: Aetna Medicare Advantage	$8,689.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,226.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,226.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,645.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,226.59
Rate for Payer: Cigna Medicare Advantage	$11,645.14
Rate for Payer: Clover Medicare Advantage	$11,062.88
Rate for Payer: EmblemHealth Commercial	$34,935.42
Rate for Payer: Humana Medicare Advantage	$11,994.49
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,645.14
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12,343.85
Rate for Payer: Wellcare Medicare Advantage	$11,645.14

OTHER DISORDERS OF THE EYE WITH MCC

Facility

$50,226.18

Service Code	MSDRG 124
Min. Negotiated Rate	$14,438.44
Max. Negotiated Rate	$50,226.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36,388.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36,388.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36,388.44

OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT

Facility

$50,226.18

Service Code	MSDRG 124
Min. Negotiated Rate	$14,438.44
Max. Negotiated Rate	$50,226.18
Rate for Payer: Aetna Commercial	$44,614.78
Rate for Payer: Aetna Medicare Advantage	$14,438.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,742.06
Rate for Payer: Cigna Commercial	$28,474.44
Rate for Payer: Cigna Medicare Advantage	$16,742.06
Rate for Payer: Clover Medicare Advantage	$15,904.96
Rate for Payer: EmblemHealth Commercial	$50,226.18
Rate for Payer: Humana Medicare Advantage	$17,244.32
Rate for Payer: Oxford Commercial	$17,795.69
Rate for Payer: UnitedHealthcare Commercial	$20,199.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,742.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17,746.58
Rate for Payer: Wellcare Medicare Advantage	$16,742.06

OTHER DISORDERS OF THE EYE WITHOUT MCC

Facility

$34,108.17

Service Code	MSDRG 125
Min. Negotiated Rate	$8,378.68
Max. Negotiated Rate	$34,108.17
Rate for Payer: Aetna Commercial	$25,890.12
Rate for Payer: Aetna Medicare Advantage	$8,378.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,053.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,053.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,369.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,053.60
Rate for Payer: Cigna Commercial	$16,523.82
Rate for Payer: Cigna Medicare Advantage	$11,369.39
Rate for Payer: Clover Medicare Advantage	$10,800.92
Rate for Payer: EmblemHealth Commercial	$34,108.17
Rate for Payer: Humana Medicare Advantage	$11,710.47
Rate for Payer: Oxford Commercial	$10,326.91
Rate for Payer: UnitedHealthcare Commercial	$11,722.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,369.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12,051.55
Rate for Payer: Wellcare Medicare Advantage	$11,369.39

OTHER DISORDERS OF THE LIVER

Facility

$12,875.36

Service Code	APR-DRG 2833
Min. Negotiated Rate	$9,698.41
Max. Negotiated Rate	$12,875.36
Rate for Payer: Aetna Better Health Medicaid	$12,622.90
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,875.36
Rate for Payer: Wellpoint Medicaid Managed Care	$9,698.41

OTHER DISORDERS OF THE LIVER

Facility

$6,771.92

Service Code	APR-DRG 2831
Min. Negotiated Rate	$5,432.80
Max. Negotiated Rate	$6,771.92
Rate for Payer: Aetna Better Health Medicaid	$6,639.14
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,771.92
Rate for Payer: Wellpoint Medicaid Managed Care	$5,432.80

OTHER DISORDERS OF THE LIVER

Facility

$8,763.33

Service Code	APR-DRG 2832
Min. Negotiated Rate	$6,434.29
Max. Negotiated Rate	$8,763.33
Rate for Payer: Aetna Better Health Medicaid	$8,591.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,763.33
Rate for Payer: Wellpoint Medicaid Managed Care	$6,434.29

OTHER DISORDERS OF THE LIVER

Facility

$23,749.49

Service Code	APR-DRG 2834
Min. Negotiated Rate	$19,823.69
Max. Negotiated Rate	$23,749.49
Rate for Payer: Aetna Better Health Medicaid	$23,283.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,749.49
Rate for Payer: Wellpoint Medicaid Managed Care	$19,823.69

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$19,408.52

Service Code	APR-DRG 7764
Min. Negotiated Rate	$17,601.10
Max. Negotiated Rate	$19,408.52
Rate for Payer: Aetna Better Health Medicaid	$19,027.96
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,408.52
Rate for Payer: Wellpoint Medicaid Managed Care	$17,601.10

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$10,322.19

Service Code	APR-DRG 7763
Min. Negotiated Rate	$7,631.12
Max. Negotiated Rate	$10,322.19
Rate for Payer: Aetna Better Health Medicaid	$10,119.79
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,322.19
Rate for Payer: Wellpoint Medicaid Managed Care	$7,631.12

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$5,128.77

Service Code	APR-DRG 7761
Min. Negotiated Rate	$3,124.31
Max. Negotiated Rate	$5,128.77
Rate for Payer: Aetna Better Health Medicaid	$5,028.21
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,128.77
Rate for Payer: Wellpoint Medicaid Managed Care	$3,124.31

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$5,815.53

Service Code	APR-DRG 7762
Min. Negotiated Rate	$4,330.58
Max. Negotiated Rate	$5,815.53
Rate for Payer: Aetna Better Health Medicaid	$5,701.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,815.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4,330.58

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC

Facility

$38,424.30

Service Code	MSDRG 155
Min. Negotiated Rate	$10,001.38
Max. Negotiated Rate	$38,424.30
Rate for Payer: Aetna Commercial	$30,904.26
Rate for Payer: Aetna Medicare Advantage	$10,001.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,188.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,188.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,808.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,188.65
Rate for Payer: Cigna Commercial	$19,724.00
Rate for Payer: Cigna Medicare Advantage	$12,808.10
Rate for Payer: Clover Medicare Advantage	$12,167.69
Rate for Payer: EmblemHealth Commercial	$38,424.30
Rate for Payer: Humana Medicare Advantage	$13,192.34
Rate for Payer: Oxford Commercial	$12,326.92
Rate for Payer: UnitedHealthcare Commercial	$13,992.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,808.10
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13,576.59
Rate for Payer: Wellcare Medicare Advantage	$12,808.10

Know your out-of-pocket cost for care.

All Charges