Heights University Hospital

All Charges

Charge

Type

Setting

Price

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC

Facility

$57,203.97

Service Code	MSDRG 154
Min. Negotiated Rate	$17,061.82
Max. Negotiated Rate	$57,203.97
Rate for Payer: Aetna Commercial	$52,721.02
Rate for Payer: Aetna Medicare Advantage	$17,061.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42,453.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42,453.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,067.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42,453.18
Rate for Payer: Cigna Commercial	$33,648.08
Rate for Payer: Cigna Medicare Advantage	$19,067.99
Rate for Payer: Clover Medicare Advantage	$18,114.59
Rate for Payer: EmblemHealth Commercial	$57,203.97
Rate for Payer: Humana Medicare Advantage	$19,640.03
Rate for Payer: Oxford Commercial	$21,029.08
Rate for Payer: UnitedHealthcare Commercial	$23,869.95
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,067.99
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,212.07
Rate for Payer: Wellcare Medicare Advantage	$19,067.99

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC

Facility

$31,881.90

Service Code	MSDRG 156
Min. Negotiated Rate	$7,541.69
Max. Negotiated Rate	$31,881.90
Rate for Payer: Aetna Commercial	$23,303.82
Rate for Payer: Aetna Medicare Advantage	$7,541.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,194.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,194.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,627.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18,194.22
Rate for Payer: Cigna Commercial	$14,873.16
Rate for Payer: Cigna Medicare Advantage	$10,627.30
Rate for Payer: Clover Medicare Advantage	$10,095.93
Rate for Payer: EmblemHealth Commercial	$31,881.90
Rate for Payer: Humana Medicare Advantage	$10,946.12
Rate for Payer: Oxford Commercial	$9,295.30
Rate for Payer: UnitedHealthcare Commercial	$10,551.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,627.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,264.94
Rate for Payer: Wellcare Medicare Advantage	$10,627.30

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC

Facility

$62,120.94

Service Code	MSDRG 144
Min. Negotiated Rate	$18,910.41
Max. Negotiated Rate	$62,120.94
Rate for Payer: Aetna Commercial	$58,433.17
Rate for Payer: Aetna Medicare Advantage	$18,910.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47,690.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47,690.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,706.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47,690.91
Rate for Payer: Cigna Commercial	$37,293.74
Rate for Payer: Cigna Medicare Advantage	$20,706.98
Rate for Payer: Clover Medicare Advantage	$19,671.63
Rate for Payer: EmblemHealth Commercial	$62,120.94
Rate for Payer: Humana Medicare Advantage	$21,328.19
Rate for Payer: Oxford Commercial	$23,307.51
Rate for Payer: UnitedHealthcare Commercial	$26,456.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,706.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,949.40
Rate for Payer: Wellcare Medicare Advantage	$20,706.98

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC

Facility

$126,334.90

Service Code	MSDRG 143
Min. Negotiated Rate	$38,180.52
Max. Negotiated Rate	$126,334.90
Rate for Payer: Aetna Commercial	$126,334.90
Rate for Payer: Aetna Medicare Advantage	$40,885.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91,798.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91,798.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$40,190.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91,798.11
Rate for Payer: Cigna Commercial	$80,630.58
Rate for Payer: Cigna Medicare Advantage	$40,190.02
Rate for Payer: Clover Medicare Advantage	$38,180.52
Rate for Payer: EmblemHealth Commercial	$120,570.06
Rate for Payer: Humana Medicare Advantage	$41,395.72
Rate for Payer: Oxford Commercial	$50,391.77
Rate for Payer: UnitedHealthcare Commercial	$57,199.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$40,190.02
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$42,601.42
Rate for Payer: Wellcare Medicare Advantage	$40,190.02

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC

Facility

$46,719.87

Service Code	MSDRG 145
Min. Negotiated Rate	$13,120.20
Max. Negotiated Rate	$46,719.87
Rate for Payer: Aetna Commercial	$40,541.42
Rate for Payer: Aetna Medicare Advantage	$13,120.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33,631.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33,631.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,573.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,631.74
Rate for Payer: Cigna Commercial	$25,874.70
Rate for Payer: Cigna Medicare Advantage	$15,573.29
Rate for Payer: Clover Medicare Advantage	$14,794.63
Rate for Payer: EmblemHealth Commercial	$46,719.87
Rate for Payer: Humana Medicare Advantage	$16,040.49
Rate for Payer: Oxford Commercial	$16,170.93
Rate for Payer: UnitedHealthcare Commercial	$18,355.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,573.29
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16,507.69
Rate for Payer: Wellcare Medicare Advantage	$15,573.29

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$23,887.15

Service Code	APR-DRG 1154
Min. Negotiated Rate	$18,586.08
Max. Negotiated Rate	$23,887.15
Rate for Payer: Aetna Better Health Medicaid	$23,418.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,887.15
Rate for Payer: Wellpoint Medicaid Managed Care	$18,586.08

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$13,449.72

Service Code	APR-DRG 1153
Min. Negotiated Rate	$9,056.22
Max. Negotiated Rate	$13,449.72
Rate for Payer: Aetna Better Health Medicaid	$13,186.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,449.72
Rate for Payer: Wellpoint Medicaid Managed Care	$9,056.22

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$8,662.22

Service Code	APR-DRG 1152
Min. Negotiated Rate	$6,061.80
Max. Negotiated Rate	$8,662.22
Rate for Payer: Aetna Better Health Medicaid	$8,492.37
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,662.22
Rate for Payer: Wellpoint Medicaid Managed Care	$6,061.80

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$6,262.14

Service Code	APR-DRG 1151
Min. Negotiated Rate	$4,553.34
Max. Negotiated Rate	$6,262.14
Rate for Payer: Aetna Better Health Medicaid	$6,139.35
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,262.14
Rate for Payer: Wellpoint Medicaid Managed Care	$4,553.34

OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$15,790.84

Service Code	APR-DRG 0982
Min. Negotiated Rate	$10,508.54
Max. Negotiated Rate	$15,790.84
Rate for Payer: Aetna Better Health Medicaid	$15,481.22
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,790.84
Rate for Payer: Wellpoint Medicaid Managed Care	$10,508.54

OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$26,563.86

Service Code	APR-DRG 0983
Min. Negotiated Rate	$16,912.21
Max. Negotiated Rate	$26,563.86
Rate for Payer: Aetna Better Health Medicaid	$26,043.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,563.86
Rate for Payer: Wellpoint Medicaid Managed Care	$16,912.21

OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$11,521.57

Service Code	APR-DRG 0981
Min. Negotiated Rate	$7,970.52
Max. Negotiated Rate	$11,521.57
Rate for Payer: Aetna Better Health Medicaid	$11,295.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,521.57
Rate for Payer: Wellpoint Medicaid Managed Care	$7,970.52

OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$50,698.15

Service Code	APR-DRG 0984
Min. Negotiated Rate	$35,274.75
Max. Negotiated Rate	$50,698.15
Rate for Payer: Aetna Better Health Medicaid	$49,704.07
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$50,698.15
Rate for Payer: Wellpoint Medicaid Managed Care	$35,274.75

OTHER ENDOCRINE DISORDERS

Facility

$13,834.53

Service Code	APR-DRG 4243
Min. Negotiated Rate	$9,999.26
Max. Negotiated Rate	$13,834.53
Rate for Payer: Aetna Better Health Medicaid	$13,563.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,834.53
Rate for Payer: Wellpoint Medicaid Managed Care	$9,999.26

OTHER ENDOCRINE DISORDERS

Facility

$6,728.39

Service Code	APR-DRG 4241
Min. Negotiated Rate	$4,853.65
Max. Negotiated Rate	$6,728.39
Rate for Payer: Aetna Better Health Medicaid	$6,596.46
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,728.39
Rate for Payer: Wellpoint Medicaid Managed Care	$4,853.65

OTHER ENDOCRINE DISORDERS

Facility

$24,946.04

Service Code	APR-DRG 4244
Min. Negotiated Rate	$21,191.49
Max. Negotiated Rate	$24,946.04
Rate for Payer: Aetna Better Health Medicaid	$24,456.90
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,946.04
Rate for Payer: Wellpoint Medicaid Managed Care	$21,191.49

OTHER ENDOCRINE DISORDERS

Facility

$9,370.02

Service Code	APR-DRG 4242
Min. Negotiated Rate	$6,596.18
Max. Negotiated Rate	$9,370.02
Rate for Payer: Aetna Better Health Medicaid	$9,186.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,370.02
Rate for Payer: Wellpoint Medicaid Managed Care	$6,596.18

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC

Facility

$75,063.51

Service Code	MSDRG 629
Min. Negotiated Rate	$23,770.11
Max. Negotiated Rate	$75,063.51
Rate for Payer: Aetna Commercial	$73,468.89
Rate for Payer: Aetna Medicare Advantage	$23,776.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62,301.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62,301.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25,021.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62,301.42
Rate for Payer: Cigna Commercial	$46,889.95
Rate for Payer: Cigna Medicare Advantage	$25,021.17
Rate for Payer: Clover Medicare Advantage	$23,770.11
Rate for Payer: EmblemHealth Commercial	$75,063.51
Rate for Payer: Humana Medicare Advantage	$25,771.81
Rate for Payer: Oxford Commercial	$29,304.86
Rate for Payer: UnitedHealthcare Commercial	$33,263.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$25,021.17
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$26,522.44
Rate for Payer: Wellcare Medicare Advantage	$25,021.17

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC

Facility

$125,667.24

Service Code	MSDRG 628
Min. Negotiated Rate	$37,998.53
Max. Negotiated Rate	$125,667.24
Rate for Payer: Aetna Commercial	$125,667.24
Rate for Payer: Aetna Medicare Advantage	$40,669.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110,543.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110,543.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$39,998.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110,543.67
Rate for Payer: Cigna Commercial	$80,204.46
Rate for Payer: Cigna Medicare Advantage	$39,998.45
Rate for Payer: Clover Medicare Advantage	$37,998.53
Rate for Payer: EmblemHealth Commercial	$119,995.35
Rate for Payer: Humana Medicare Advantage	$41,198.40
Rate for Payer: Oxford Commercial	$50,125.46
Rate for Payer: UnitedHealthcare Commercial	$56,897.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$39,998.45
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$42,398.36
Rate for Payer: Wellcare Medicare Advantage	$39,998.45

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC

Facility

$54,185.28

Service Code	MSDRG 630
Min. Negotiated Rate	$15,926.91
Max. Negotiated Rate	$54,185.28
Rate for Payer: Aetna Commercial	$49,214.15
Rate for Payer: Aetna Medicare Advantage	$15,926.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38,593.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38,593.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,061.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38,593.80
Rate for Payer: Cigna Commercial	$31,409.90
Rate for Payer: Cigna Medicare Advantage	$18,061.76
Rate for Payer: Clover Medicare Advantage	$17,158.67
Rate for Payer: EmblemHealth Commercial	$54,185.28
Rate for Payer: Humana Medicare Advantage	$18,603.61
Rate for Payer: Oxford Commercial	$19,630.28
Rate for Payer: UnitedHealthcare Commercial	$22,282.19
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,061.76
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,145.47
Rate for Payer: Wellcare Medicare Advantage	$18,061.76

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC

Facility

$150,488.47

Service Code	MSDRG 319
Min. Negotiated Rate	$44,764.38
Max. Negotiated Rate	$150,488.47
Rate for Payer: Aetna Commercial	$150,488.47
Rate for Payer: Aetna Medicare Advantage	$48,701.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120,192.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120,192.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$47,120.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120,192.12
Rate for Payer: Cigna Commercial	$96,046.07
Rate for Payer: Cigna Medicare Advantage	$47,120.40
Rate for Payer: Clover Medicare Advantage	$44,764.38
Rate for Payer: EmblemHealth Commercial	$141,361.20
Rate for Payer: Humana Medicare Advantage	$48,534.01
Rate for Payer: Oxford Commercial	$60,026.00
Rate for Payer: UnitedHealthcare Commercial	$68,135.09
Rate for Payer: UnitedHealthcare Medicare Advantage	$47,120.40
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$49,947.62
Rate for Payer: Wellcare Medicare Advantage	$47,120.40

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC

Facility

$81,637.83

Service Code	MSDRG 320
Min. Negotiated Rate	$25,851.98
Max. Negotiated Rate	$81,637.83
Rate for Payer: Aetna Commercial	$81,106.44
Rate for Payer: Aetna Medicare Advantage	$26,248.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61,474.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61,474.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,212.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61,474.41
Rate for Payer: Cigna Commercial	$51,764.46
Rate for Payer: Cigna Medicare Advantage	$27,212.61
Rate for Payer: Clover Medicare Advantage	$25,851.98
Rate for Payer: EmblemHealth Commercial	$81,637.83
Rate for Payer: Humana Medicare Advantage	$28,028.99
Rate for Payer: Oxford Commercial	$32,351.28
Rate for Payer: UnitedHealthcare Commercial	$36,721.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,212.61
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$28,845.37
Rate for Payer: Wellcare Medicare Advantage	$27,212.61

OTHER ESOPHAGEAL DISORDERS

Facility

$7,241.02

Service Code	APR-DRG 2431
Min. Negotiated Rate	$5,097.15
Max. Negotiated Rate	$7,241.02
Rate for Payer: Aetna Better Health Medicaid	$7,099.04
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,241.02
Rate for Payer: Wellpoint Medicaid Managed Care	$5,097.15

OTHER ESOPHAGEAL DISORDERS

Facility

$24,611.75

Service Code	APR-DRG 2434
Min. Negotiated Rate	$19,782.61
Max. Negotiated Rate	$24,611.75
Rate for Payer: Aetna Better Health Medicaid	$24,129.17
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,611.75
Rate for Payer: Wellpoint Medicaid Managed Care	$19,782.61

OTHER ESOPHAGEAL DISORDERS

Facility

$13,501.70

Service Code	APR-DRG 2433
Min. Negotiated Rate	$8,987.01
Max. Negotiated Rate	$13,501.70
Rate for Payer: Aetna Better Health Medicaid	$13,236.96
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,501.70
Rate for Payer: Wellpoint Medicaid Managed Care	$8,987.01

Know your out-of-pocket cost for care.

All Charges