Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC

Facility

$40,104.90

Service Code	MSDRG 565
Min. Negotiated Rate	$10,633.22
Max. Negotiated Rate	$40,104.90
Rate for Payer: Aetna Commercial	$32,856.65
Rate for Payer: Aetna Medicare Advantage	$10,633.22
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	$13,368.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,567.00
Rate for Payer: Cigna Commercial	$20,970.06
Rate for Payer: Cigna Medicare Advantage	$13,368.30
Rate for Payer: Clover Medicare Advantage	$12,699.89
Rate for Payer: EmblemHealth Commercial	$40,104.90
Rate for Payer: Humana Medicare Advantage	$13,769.35
Rate for Payer: Oxford Commercial	$13,105.68
Rate for Payer: UnitedHealthcare Commercial	$14,876.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,368.30
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,170.40
Rate for Payer: Wellcare Medicare Advantage	$13,368.30

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC

Facility

$56,626.35

Service Code	MSDRG 564
Min. Negotiated Rate	$16,844.66
Max. Negotiated Rate	$56,626.35
Rate for Payer: Aetna Commercial	$52,050.00
Rate for Payer: Aetna Medicare Advantage	$16,844.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43,004.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43,004.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,875.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43,004.52
Rate for Payer: Cigna Commercial	$33,219.82
Rate for Payer: Cigna Medicare Advantage	$18,875.45
Rate for Payer: Clover Medicare Advantage	$17,931.68
Rate for Payer: EmblemHealth Commercial	$56,626.35
Rate for Payer: Humana Medicare Advantage	$19,441.71
Rate for Payer: Oxford Commercial	$20,761.42
Rate for Payer: UnitedHealthcare Commercial	$23,566.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,875.45
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,007.98
Rate for Payer: Wellcare Medicare Advantage	$18,875.45

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC

Facility

$33,571.20

Service Code	MSDRG 566
Min. Negotiated Rate	$8,176.80
Max. Negotiated Rate	$33,571.20
Rate for Payer: Humana Medicare Advantage	$11,526.11
Rate for Payer: Aetna Commercial	$25,266.31
Rate for Payer: Aetna Medicare Advantage	$8,176.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,675.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,675.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,190.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,675.25
Rate for Payer: Cigna Commercial	$16,125.69
Rate for Payer: Cigna Medicare Advantage	$11,190.40
Rate for Payer: Clover Medicare Advantage	$10,630.88
Rate for Payer: EmblemHealth Commercial	$33,571.20
Rate for Payer: Oxford Commercial	$10,078.08
Rate for Payer: UnitedHealthcare Commercial	$11,439.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,190.40
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,861.82
Rate for Payer: Wellcare Medicare Advantage	$11,190.40

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC

Facility

$72,140.61

Service Code	MSDRG 516
Min. Negotiated Rate	$22,677.44
Max. Negotiated Rate	$72,140.61
Rate for Payer: Aetna Commercial	$70,073.29
Rate for Payer: Aetna Medicare Advantage	$22,677.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56,236.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56,236.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,046.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56,236.68
Rate for Payer: Cigna Commercial	$44,722.79
Rate for Payer: Cigna Medicare Advantage	$24,046.87
Rate for Payer: Clover Medicare Advantage	$22,844.53
Rate for Payer: EmblemHealth Commercial	$72,140.61
Rate for Payer: Humana Medicare Advantage	$24,768.28
Rate for Payer: Oxford Commercial	$27,950.44
Rate for Payer: UnitedHealthcare Commercial	$31,726.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,046.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25,489.68
Rate for Payer: Wellcare Medicare Advantage	$24,046.87

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC

Facility

$107,461.89

Service Code	MSDRG 515
Min. Negotiated Rate	$33,036.04
Max. Negotiated Rate	$107,461.89
Rate for Payer: Aetna Commercial	$107,461.89
Rate for Payer: Aetna Medicare Advantage	$34,777.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87,111.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87,111.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34,774.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87,111.72
Rate for Payer: Cigna Commercial	$68,585.27
Rate for Payer: Cigna Medicare Advantage	$34,774.78
Rate for Payer: Clover Medicare Advantage	$33,036.04
Rate for Payer: EmblemHealth Commercial	$104,324.34
Rate for Payer: Humana Medicare Advantage	$35,818.02
Rate for Payer: Oxford Commercial	$42,863.81
Rate for Payer: UnitedHealthcare Commercial	$48,654.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$34,774.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$36,861.27
Rate for Payer: Wellcare Medicare Advantage	$34,774.78

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC

Facility

$56,426.07

Service Code	MSDRG 517
Min. Negotiated Rate	$16,769.37
Max. Negotiated Rate	$56,426.07
Rate for Payer: Aetna Commercial	$51,817.35
Rate for Payer: Aetna Medicare Advantage	$16,769.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,074.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,074.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,808.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,074.83
Rate for Payer: Cigna Commercial	$33,071.32
Rate for Payer: Cigna Medicare Advantage	$18,808.69
Rate for Payer: Clover Medicare Advantage	$17,868.26
Rate for Payer: EmblemHealth Commercial	$56,426.07
Rate for Payer: Humana Medicare Advantage	$19,372.95
Rate for Payer: Oxford Commercial	$20,668.62
Rate for Payer: UnitedHealthcare Commercial	$23,460.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,808.69
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,937.21
Rate for Payer: Wellcare Medicare Advantage	$18,808.69

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$20,133.20

Service Code	APR-DRG 3202
Min. Negotiated Rate	$14,879.17
Max. Negotiated Rate	$20,133.20
Rate for Payer: Aetna Better Health Medicaid	$19,738.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,133.20
Rate for Payer: Wellpoint Medicaid Managed Care	$14,879.17

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$29,222.37

Service Code	APR-DRG 3203
Min. Negotiated Rate	$21,186.47
Max. Negotiated Rate	$29,222.37
Rate for Payer: Aetna Better Health Medicaid	$28,649.38
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$29,222.37
Rate for Payer: Wellpoint Medicaid Managed Care	$21,186.47

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$14,549.38

Service Code	APR-DRG 3201
Min. Negotiated Rate	$9,679.29
Max. Negotiated Rate	$14,549.38
Rate for Payer: Aetna Better Health Medicaid	$14,264.10
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,549.38
Rate for Payer: Wellpoint Medicaid Managed Care	$9,679.29

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$50,745.90

Service Code	APR-DRG 3204
Min. Negotiated Rate	$39,992.40
Max. Negotiated Rate	$50,745.90
Rate for Payer: Aetna Better Health Medicaid	$49,750.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$50,745.90
Rate for Payer: Wellpoint Medicaid Managed Care	$39,992.40

OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC

Facility

$47,158.17

Service Code	MSDRG 844
Min. Negotiated Rate	$13,284.98
Max. Negotiated Rate	$47,158.17
Rate for Payer: Aetna Commercial	$41,050.59
Rate for Payer: Aetna Medicare Advantage	$13,284.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,977.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,977.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,719.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,977.72
Rate for Payer: Cigna Commercial	$26,199.67
Rate for Payer: Cigna Medicare Advantage	$15,719.39
Rate for Payer: Clover Medicare Advantage	$14,933.42
Rate for Payer: EmblemHealth Commercial	$47,158.17
Rate for Payer: Humana Medicare Advantage	$16,190.97
Rate for Payer: Oxford Commercial	$16,374.03
Rate for Payer: UnitedHealthcare Commercial	$18,586.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,719.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16,662.55
Rate for Payer: Wellcare Medicare Advantage	$15,719.39

OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC

Facility

$69,722.76

Service Code	MSDRG 843
Min. Negotiated Rate	$21,768.42
Max. Negotiated Rate	$69,722.76
Rate for Payer: Aetna Commercial	$67,264.42
Rate for Payer: Aetna Medicare Advantage	$21,768.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51,274.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51,274.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,240.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51,274.62
Rate for Payer: Cigna Commercial	$42,930.09
Rate for Payer: Cigna Medicare Advantage	$23,240.92
Rate for Payer: Clover Medicare Advantage	$22,078.87
Rate for Payer: EmblemHealth Commercial	$69,722.76
Rate for Payer: Humana Medicare Advantage	$23,938.15
Rate for Payer: Oxford Commercial	$26,830.06
Rate for Payer: UnitedHealthcare Commercial	$30,454.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,240.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$24,635.38
Rate for Payer: Wellcare Medicare Advantage	$23,240.92

OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC

Facility

$36,540.54

Service Code	MSDRG 845
Min. Negotiated Rate	$9,293.16
Max. Negotiated Rate	$36,540.54
Rate for Payer: Aetna Commercial	$28,715.86
Rate for Payer: Aetna Medicare Advantage	$9,293.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,707.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,707.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,180.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,707.62
Rate for Payer: Cigna Commercial	$18,327.28
Rate for Payer: Cigna Medicare Advantage	$12,180.18
Rate for Payer: Clover Medicare Advantage	$11,571.17
Rate for Payer: EmblemHealth Commercial	$36,540.54
Rate for Payer: Humana Medicare Advantage	$12,545.59
Rate for Payer: Oxford Commercial	$11,454.02
Rate for Payer: UnitedHealthcare Commercial	$13,001.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,180.18
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12,910.99
Rate for Payer: Wellcare Medicare Advantage	$12,180.18

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$32,782.46

Service Code	APR-DRG 0263
Min. Negotiated Rate	$23,772.28
Max. Negotiated Rate	$32,782.46
Rate for Payer: Aetna Better Health Medicaid	$32,139.67
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$32,782.46
Rate for Payer: Wellpoint Medicaid Managed Care	$23,772.28

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$21,311.48

Service Code	APR-DRG 0262
Min. Negotiated Rate	$16,588.12
Max. Negotiated Rate	$21,311.48
Rate for Payer: Aetna Better Health Medicaid	$20,893.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,311.48
Rate for Payer: Wellpoint Medicaid Managed Care	$16,588.12

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$57,426.54

Service Code	APR-DRG 0264
Min. Negotiated Rate	$50,063.41
Max. Negotiated Rate	$57,426.54
Rate for Payer: Aetna Better Health Medicaid	$56,300.53
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$57,426.54
Rate for Payer: Wellpoint Medicaid Managed Care	$50,063.41

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$17,184.01

Service Code	APR-DRG 0261
Min. Negotiated Rate	$12,565.84
Max. Negotiated Rate	$17,184.01
Rate for Payer: Aetna Better Health Medicaid	$16,847.07
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,184.01
Rate for Payer: Wellpoint Medicaid Managed Care	$12,565.84

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$7,358.95

Service Code	APR-DRG 4252
Min. Negotiated Rate	$5,086.51
Max. Negotiated Rate	$7,358.95
Rate for Payer: Aetna Better Health Medicaid	$7,214.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,358.95
Rate for Payer: Wellpoint Medicaid Managed Care	$5,086.51

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$6,020.60

Service Code	APR-DRG 4251
Min. Negotiated Rate	$3,947.93
Max. Negotiated Rate	$6,020.60
Rate for Payer: Aetna Better Health Medicaid	$5,902.55
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,020.60
Rate for Payer: Wellpoint Medicaid Managed Care	$3,947.93

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$22,225.72

Service Code	APR-DRG 4254
Min. Negotiated Rate	$17,111.98
Max. Negotiated Rate	$22,225.72
Rate for Payer: Aetna Better Health Medicaid	$21,789.92
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,225.72
Rate for Payer: Wellpoint Medicaid Managed Care	$17,111.98

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$10,244.95

Service Code	APR-DRG 4253
Min. Negotiated Rate	$7,627.86
Max. Negotiated Rate	$10,244.95
Rate for Payer: Aetna Better Health Medicaid	$10,044.07
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,244.95
Rate for Payer: Wellpoint Medicaid Managed Care	$7,627.86

OTHER OPEN CRANIOTOMY

Facility

$40,815.50

Service Code	APR-DRG 0273
Min. Negotiated Rate	$40,015.20
Max. Negotiated Rate	$40,815.50
Rate for Payer: Aetna Better Health Medicaid	$40,015.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$40,815.50

OTHER OPEN CRANIOTOMY

Facility

$23,397.01

Service Code	APR-DRG 0271
Min. Negotiated Rate	$22,938.25
Max. Negotiated Rate	$23,397.01
Rate for Payer: Aetna Better Health Medicaid	$22,938.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,397.01

OTHER OPEN CRANIOTOMY

Facility

$70,181.13

Service Code	APR-DRG 0274
Min. Negotiated Rate	$68,805.03
Max. Negotiated Rate	$70,181.13
Rate for Payer: Aetna Better Health Medicaid	$68,805.03
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$70,181.13

Know your out-of-pocket cost for care.

All Charges