Heights University Hospital

All Charges

Charge

Type

Setting

Price

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$20,730.05

Service Code	APR-DRG 0911
Min. Negotiated Rate	$13,532.54
Max. Negotiated Rate	$20,730.05
Rate for Payer: Aetna Better Health Medicaid	$20,323.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,730.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13,532.54

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$30,435.73

Service Code	APR-DRG 0912
Min. Negotiated Rate	$20,504.41
Max. Negotiated Rate	$30,435.73
Rate for Payer: Aetna Better Health Medicaid	$29,838.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$30,435.73
Rate for Payer: Wellpoint Medicaid Managed Care	$20,504.41

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$87,984.50

Service Code	APR-DRG 0914
Min. Negotiated Rate	$55,510.12
Max. Negotiated Rate	$87,984.50
Rate for Payer: Aetna Better Health Medicaid	$86,259.31
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$87,984.50
Rate for Payer: Wellpoint Medicaid Managed Care	$55,510.12

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$54,876.20

Service Code	APR-DRG 0913
Min. Negotiated Rate	$35,164.28
Max. Negotiated Rate	$54,876.20
Rate for Payer: Aetna Better Health Medicaid	$53,800.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$54,876.20
Rate for Payer: Wellpoint Medicaid Managed Care	$35,164.28

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$51,564.64

Service Code	APR-DRG 4844
Min. Negotiated Rate	$40,660.36
Max. Negotiated Rate	$51,564.64
Rate for Payer: Aetna Better Health Medicaid	$50,553.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$51,564.64
Rate for Payer: Wellpoint Medicaid Managed Care	$40,660.36

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$19,186.63

Service Code	APR-DRG 4842
Min. Negotiated Rate	$12,532.99
Max. Negotiated Rate	$19,186.63
Rate for Payer: Aetna Better Health Medicaid	$18,810.42
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,186.63
Rate for Payer: Wellpoint Medicaid Managed Care	$12,532.99

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$23,144.19

Service Code	APR-DRG 4843
Min. Negotiated Rate	$16,050.72
Max. Negotiated Rate	$23,144.19
Rate for Payer: Aetna Better Health Medicaid	$22,690.38
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,144.19
Rate for Payer: Wellpoint Medicaid Managed Care	$16,050.72

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$15,790.84

Service Code	APR-DRG 4841
Min. Negotiated Rate	$8,782.58
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	$8,782.58

OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC

Facility

$42,551.76

Service Code	MSDRG 729
Min. Negotiated Rate	$11,553.15
Max. Negotiated Rate	$42,551.76
Rate for Payer: Aetna Commercial	$35,699.23
Rate for Payer: Aetna Medicare Advantage	$11,553.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,567.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,567.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,183.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,567.00
Rate for Payer: Cigna Commercial	$22,784.28
Rate for Payer: Cigna Medicare Advantage	$14,183.92
Rate for Payer: Clover Medicare Advantage	$13,474.72
Rate for Payer: EmblemHealth Commercial	$42,551.76
Rate for Payer: Humana Medicare Advantage	$14,609.44
Rate for Payer: Oxford Commercial	$14,239.51
Rate for Payer: UnitedHealthcare Commercial	$16,163.17
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,183.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,034.96
Rate for Payer: Wellcare Medicare Advantage	$14,183.92

OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$31,327.53

Service Code	MSDRG 730
Min. Negotiated Rate	$7,333.26
Max. Negotiated Rate	$31,327.53
Rate for Payer: Aetna Commercial	$22,659.77
Rate for Payer: Aetna Medicare Advantage	$7,333.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17,091.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17,091.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,442.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17,091.54
Rate for Payer: Cigna Commercial	$14,462.11
Rate for Payer: Cigna Medicare Advantage	$10,442.51
Rate for Payer: Clover Medicare Advantage	$9,920.38
Rate for Payer: EmblemHealth Commercial	$31,327.53
Rate for Payer: Humana Medicare Advantage	$10,755.79
Rate for Payer: Oxford Commercial	$9,038.40
Rate for Payer: UnitedHealthcare Commercial	$10,259.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,442.51
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,069.06
Rate for Payer: Wellcare Medicare Advantage	$10,442.51

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC

Facility

$66,695.37

Service Code	MSDRG 717
Min. Negotiated Rate	$20,630.24
Max. Negotiated Rate	$66,695.37
Rate for Payer: Aetna Commercial	$63,747.44
Rate for Payer: Aetna Medicare Advantage	$20,630.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,896.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,896.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,231.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,896.27
Rate for Payer: Cigna Commercial	$40,685.45
Rate for Payer: Cigna Medicare Advantage	$22,231.79
Rate for Payer: Clover Medicare Advantage	$21,120.20
Rate for Payer: EmblemHealth Commercial	$66,695.37
Rate for Payer: Humana Medicare Advantage	$22,898.74
Rate for Payer: Oxford Commercial	$25,427.22
Rate for Payer: UnitedHealthcare Commercial	$28,862.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,231.79
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23,565.70
Rate for Payer: Wellcare Medicare Advantage	$22,231.79

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC

Facility

$50,806.68

Service Code	MSDRG 718
Min. Negotiated Rate	$14,656.69
Max. Negotiated Rate	$50,806.68
Rate for Payer: Aetna Commercial	$45,289.17
Rate for Payer: Aetna Medicare Advantage	$14,656.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32,529.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32,529.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,935.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32,529.06
Rate for Payer: Cigna Commercial	$28,904.86
Rate for Payer: Cigna Medicare Advantage	$16,935.56
Rate for Payer: Clover Medicare Advantage	$16,088.78
Rate for Payer: EmblemHealth Commercial	$50,806.68
Rate for Payer: Humana Medicare Advantage	$17,443.63
Rate for Payer: Oxford Commercial	$18,064.69
Rate for Payer: UnitedHealthcare Commercial	$20,505.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,935.56
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17,951.69
Rate for Payer: Wellcare Medicare Advantage	$16,935.56

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC

Facility

$76,761.51

Service Code	MSDRG 715
Min. Negotiated Rate	$24,307.81
Max. Negotiated Rate	$76,761.51
Rate for Payer: Aetna Commercial	$75,441.48
Rate for Payer: Aetna Medicare Advantage	$24,414.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60,923.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60,923.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25,587.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60,923.07
Rate for Payer: Cigna Commercial	$48,148.93
Rate for Payer: Cigna Medicare Advantage	$25,587.17
Rate for Payer: Clover Medicare Advantage	$24,307.81
Rate for Payer: EmblemHealth Commercial	$76,761.51
Rate for Payer: Humana Medicare Advantage	$26,354.79
Rate for Payer: Oxford Commercial	$30,091.69
Rate for Payer: UnitedHealthcare Commercial	$34,156.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$25,587.17
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$27,122.40
Rate for Payer: Wellcare Medicare Advantage	$25,587.17

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC

Facility

$54,519.09

Service Code	MSDRG 716
Min. Negotiated Rate	$16,052.41
Max. Negotiated Rate	$54,519.09
Rate for Payer: Aetna Commercial	$49,601.95
Rate for Payer: Aetna Medicare Advantage	$16,052.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39,145.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39,145.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,173.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39,145.14
Rate for Payer: Cigna Commercial	$31,657.39
Rate for Payer: Cigna Medicare Advantage	$18,173.03
Rate for Payer: Clover Medicare Advantage	$17,264.38
Rate for Payer: EmblemHealth Commercial	$54,519.09
Rate for Payer: Humana Medicare Advantage	$18,718.22
Rate for Payer: Oxford Commercial	$19,784.95
Rate for Payer: UnitedHealthcare Commercial	$22,457.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,173.03
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,263.41
Rate for Payer: Wellcare Medicare Advantage	$18,173.03

OTHER MENTAL DISORDER DIAGNOSES

Facility

$42,905.88

Service Code	MSDRG 887
Min. Negotiated Rate	$11,686.29
Max. Negotiated Rate	$42,905.88
Rate for Payer: Aetna Commercial	$36,110.64
Rate for Payer: Aetna Medicare Advantage	$11,686.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35,837.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35,837.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,301.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35,837.10
Rate for Payer: Cigna Commercial	$23,046.84
Rate for Payer: Cigna Medicare Advantage	$14,301.96
Rate for Payer: Clover Medicare Advantage	$13,586.86
Rate for Payer: EmblemHealth Commercial	$42,905.88
Rate for Payer: Humana Medicare Advantage	$14,731.02
Rate for Payer: Oxford Commercial	$14,403.60
Rate for Payer: UnitedHealthcare Commercial	$16,349.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,301.96
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,160.08
Rate for Payer: Wellcare Medicare Advantage	$14,301.96

OTHER MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$23,548.65

Service Code	APR-DRG 7604
Min. Negotiated Rate	$19,038.12
Max. Negotiated Rate	$23,548.65
Rate for Payer: Aetna Better Health Medicaid	$23,086.91
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,548.65
Rate for Payer: Wellpoint Medicaid Managed Care	$19,038.12

OTHER MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$12,601.51

Service Code	APR-DRG 7603
Min. Negotiated Rate	$9,875.36
Max. Negotiated Rate	$12,601.51
Rate for Payer: Aetna Better Health Medicaid	$12,354.42
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,601.51
Rate for Payer: Wellpoint Medicaid Managed Care	$9,875.36

OTHER MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$8,603.25

Service Code	APR-DRG 7602
Min. Negotiated Rate	$6,547.12
Max. Negotiated Rate	$8,603.25
Rate for Payer: Aetna Better Health Medicaid	$8,434.56
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,603.25
Rate for Payer: Wellpoint Medicaid Managed Care	$6,547.12

OTHER MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$6,079.56

Service Code	APR-DRG 7601
Min. Negotiated Rate	$5,041.07
Max. Negotiated Rate	$6,079.56
Rate for Payer: Aetna Better Health Medicaid	$5,960.35
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,079.56
Rate for Payer: Wellpoint Medicaid Managed Care	$5,041.07

OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC

Facility

$56,307.06

Service Code	MSDRG 964
Min. Negotiated Rate	$16,724.62
Max. Negotiated Rate	$56,307.06
Rate for Payer: Aetna Commercial	$51,679.08
Rate for Payer: Aetna Medicare Advantage	$16,724.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,350.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,350.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,769.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,350.50
Rate for Payer: Cigna Commercial	$32,983.08
Rate for Payer: Cigna Medicare Advantage	$18,769.02
Rate for Payer: Clover Medicare Advantage	$17,830.57
Rate for Payer: EmblemHealth Commercial	$56,307.06
Rate for Payer: Humana Medicare Advantage	$19,332.09
Rate for Payer: Oxford Commercial	$20,613.47
Rate for Payer: UnitedHealthcare Commercial	$23,398.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,769.02
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,895.16
Rate for Payer: Wellcare Medicare Advantage	$18,769.02

OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC

Facility

$92,183.41

Service Code	MSDRG 963
Min. Negotiated Rate	$28,871.38
Max. Negotiated Rate	$92,183.41
Rate for Payer: Oxford Commercial	$36,769.61
Rate for Payer: Aetna Commercial	$92,183.41
Rate for Payer: Aetna Medicare Advantage	$29,832.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75,257.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75,257.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$30,390.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75,257.91
Rate for Payer: Cigna Commercial	$58,834.11
Rate for Payer: Cigna Medicare Advantage	$30,390.93
Rate for Payer: Clover Medicare Advantage	$28,871.38
Rate for Payer: EmblemHealth Commercial	$91,172.79
Rate for Payer: Humana Medicare Advantage	$31,302.66
Rate for Payer: UnitedHealthcare Commercial	$41,736.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$30,390.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$32,214.39
Rate for Payer: Wellcare Medicare Advantage	$30,390.93

OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

Facility

$39,120.93

Service Code	MSDRG 965
Min. Negotiated Rate	$10,263.28
Max. Negotiated Rate	$39,120.93
Rate for Payer: Aetna Commercial	$31,713.54
Rate for Payer: Aetna Medicare Advantage	$10,263.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,464.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,464.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,040.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,464.32
Rate for Payer: Cigna Commercial	$20,240.50
Rate for Payer: Cigna Medicare Advantage	$13,040.31
Rate for Payer: Clover Medicare Advantage	$12,388.29
Rate for Payer: EmblemHealth Commercial	$39,120.93
Rate for Payer: Humana Medicare Advantage	$13,431.52
Rate for Payer: Oxford Commercial	$12,649.73
Rate for Payer: UnitedHealthcare Commercial	$14,358.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,040.31
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13,822.73
Rate for Payer: Wellcare Medicare Advantage	$13,040.31

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$12,834.67

Service Code	APR-DRG 3513
Min. Negotiated Rate	$9,322.47
Max. Negotiated Rate	$12,834.67
Rate for Payer: Aetna Better Health Medicaid	$12,583.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,834.67
Rate for Payer: Wellpoint Medicaid Managed Care	$9,322.47

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$8,302.68

Service Code	APR-DRG 3512
Min. Negotiated Rate	$5,744.97
Max. Negotiated Rate	$8,302.68
Rate for Payer: Aetna Better Health Medicaid	$8,139.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,302.68
Rate for Payer: Wellpoint Medicaid Managed Care	$5,744.97

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$24,051.45

Service Code	APR-DRG 3514
Min. Negotiated Rate	$20,639.26
Max. Negotiated Rate	$24,051.45
Rate for Payer: Aetna Better Health Medicaid	$23,579.85
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,051.45
Rate for Payer: Wellpoint Medicaid Managed Care	$20,639.26

Know your out-of-pocket cost for care.

All Charges