Heights University Hospital

All Charges

Charge

Type

Setting

Price

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 O.R. PROCEDURES FOR INJURIES WITH CC

Facility

$69,734.37

Service Code	MSDRG 908
Min. Negotiated Rate	$21,772.79
Max. Negotiated Rate	$69,734.37
Rate for Payer: Aetna Commercial	$67,277.92
Rate for Payer: Aetna Medicare Advantage	$21,772.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55,134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55,134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,244.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55,134.00
Rate for Payer: Cigna Commercial	$42,938.70
Rate for Payer: Cigna Medicare Advantage	$23,244.79
Rate for Payer: Clover Medicare Advantage	$22,082.55
Rate for Payer: EmblemHealth Commercial	$69,734.37
Rate for Payer: Humana Medicare Advantage	$23,942.13
Rate for Payer: Oxford Commercial	$26,835.44
Rate for Payer: UnitedHealthcare Commercial	$30,460.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,244.79
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$24,639.48
Rate for Payer: Wellcare Medicare Advantage	$23,244.79

OTHER O.R. PROCEDURES FOR INJURIES WITH MCC

Facility

$129,460.74

Service Code	MSDRG 907
Min. Negotiated Rate	$39,032.56
Max. Negotiated Rate	$129,460.74
Rate for Payer: Aetna Commercial	$129,460.74
Rate for Payer: Aetna Medicare Advantage	$41,896.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102,549.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102,549.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$41,086.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102,549.24
Rate for Payer: Cigna Commercial	$82,625.58
Rate for Payer: Cigna Medicare Advantage	$41,086.91
Rate for Payer: Clover Medicare Advantage	$39,032.56
Rate for Payer: EmblemHealth Commercial	$123,260.73
Rate for Payer: Humana Medicare Advantage	$42,319.52
Rate for Payer: Oxford Commercial	$51,638.58
Rate for Payer: UnitedHealthcare Commercial	$58,614.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$41,086.91
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$43,552.12
Rate for Payer: Wellcare Medicare Advantage	$41,086.91

OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC

Facility

$49,924.32

Service Code	MSDRG 909
Min. Negotiated Rate	$14,324.95
Max. Negotiated Rate	$49,924.32
Rate for Payer: Aetna Commercial	$44,264.10
Rate for Payer: Aetna Medicare Advantage	$14,324.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,491.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,491.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,641.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,491.12
Rate for Payer: Cigna Commercial	$28,250.62
Rate for Payer: Cigna Medicare Advantage	$16,641.44
Rate for Payer: Clover Medicare Advantage	$15,809.37
Rate for Payer: EmblemHealth Commercial	$49,924.32
Rate for Payer: Humana Medicare Advantage	$17,140.68
Rate for Payer: Oxford Commercial	$17,655.81
Rate for Payer: UnitedHealthcare Commercial	$20,040.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,641.44
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17,639.93
Rate for Payer: Wellcare Medicare Advantage	$16,641.44

OTHERO.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$15,925.66

Service Code	APR-DRG 6811
Min. Negotiated Rate	$10,582.28
Max. Negotiated Rate	$15,925.66
Rate for Payer: Aetna Better Health Medicaid	$15,613.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,925.66
Rate for Payer: Wellpoint Medicaid Managed Care	$10,582.28

OTHERO.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$20,607.91

Service Code	APR-DRG 6812
Min. Negotiated Rate	$14,565.73
Max. Negotiated Rate	$20,607.91
Rate for Payer: Aetna Better Health Medicaid	$20,203.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,607.91
Rate for Payer: Wellpoint Medicaid Managed Care	$14,565.73

OTHERO.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$33,692.48

Service Code	APR-DRG 6813
Min. Negotiated Rate	$26,769.30
Max. Negotiated Rate	$33,692.48
Rate for Payer: Aetna Better Health Medicaid	$33,031.84
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$33,692.48
Rate for Payer: Wellpoint Medicaid Managed Care	$26,769.30

OTHERO.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$76,273.37

Service Code	APR-DRG 6814
Min. Negotiated Rate	$65,228.19
Max. Negotiated Rate	$76,273.37
Rate for Payer: Aetna Better Health Medicaid	$74,777.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$76,273.37
Rate for Payer: Wellpoint Medicaid Managed Care	$65,228.19

OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC

Facility

$142,092.20

Service Code	MSDRG 958
Min. Negotiated Rate	$42,475.70
Max. Negotiated Rate	$142,092.20
Rate for Payer: Cigna Commercial	$90,687.34
Rate for Payer: Aetna Commercial	$142,092.20
Rate for Payer: Aetna Medicare Advantage	$45,984.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111,370.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111,370.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$44,711.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111,370.68
Rate for Payer: Cigna Medicare Advantage	$44,711.26
Rate for Payer: Clover Medicare Advantage	$42,475.70
Rate for Payer: EmblemHealth Commercial	$134,133.78
Rate for Payer: Humana Medicare Advantage	$46,052.60
Rate for Payer: Oxford Commercial	$56,676.96
Rate for Payer: UnitedHealthcare Commercial	$64,333.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$44,711.26
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$47,393.94
Rate for Payer: Wellcare Medicare Advantage	$44,711.26

OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC

Facility

$256,942.12

Service Code	MSDRG 957
Min. Negotiated Rate	$73,781.89
Max. Negotiated Rate	$256,942.12
Rate for Payer: Aetna Commercial	$256,942.12
Rate for Payer: Aetna Medicare Advantage	$83,152.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$199,309.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$199,309.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$77,665.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$199,309.41
Rate for Payer: Cigna Commercial	$163,987.87
Rate for Payer: Cigna Medicare Advantage	$77,665.15
Rate for Payer: Clover Medicare Advantage	$73,781.89
Rate for Payer: EmblemHealth Commercial	$232,995.45
Rate for Payer: Humana Medicare Advantage	$79,995.10
Rate for Payer: Oxford Commercial	$102,487.65
Rate for Payer: UnitedHealthcare Commercial	$116,333.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$77,665.15
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$82,325.06
Rate for Payer: Wellcare Medicare Advantage	$77,665.15

OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

Facility

$99,274.72

Service Code	MSDRG 959
Min. Negotiated Rate	$30,804.35
Max. Negotiated Rate	$99,274.72
Rate for Payer: Aetna Commercial	$99,274.72
Rate for Payer: Aetna Medicare Advantage	$32,127.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69,744.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69,744.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$32,425.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69,744.51
Rate for Payer: Cigna Commercial	$63,359.98
Rate for Payer: Cigna Medicare Advantage	$32,425.63
Rate for Payer: Clover Medicare Advantage	$30,804.35
Rate for Payer: EmblemHealth Commercial	$97,276.89
Rate for Payer: Humana Medicare Advantage	$33,398.40
Rate for Payer: Oxford Commercial	$39,598.14
Rate for Payer: UnitedHealthcare Commercial	$44,947.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$32,425.63
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$34,371.17
Rate for Payer: Wellcare Medicare Advantage	$32,425.63

OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC

Facility

$65,778.18

Service Code	MSDRG 803
Min. Negotiated Rate	$20,285.40
Max. Negotiated Rate	$65,778.18
Rate for Payer: Aetna Commercial	$62,681.89
Rate for Payer: Aetna Medicare Advantage	$20,285.40
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	$21,926.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51,274.62
Rate for Payer: Cigna Commercial	$40,005.39
Rate for Payer: Cigna Medicare Advantage	$21,926.06
Rate for Payer: Clover Medicare Advantage	$20,829.76
Rate for Payer: EmblemHealth Commercial	$65,778.18
Rate for Payer: Humana Medicare Advantage	$22,583.84
Rate for Payer: Oxford Commercial	$25,002.21
Rate for Payer: UnitedHealthcare Commercial	$28,379.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,926.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23,241.62
Rate for Payer: Wellcare Medicare Advantage	$21,926.06

OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC

Facility

$134,343.37

Service Code	MSDRG 802
Min. Negotiated Rate	$40,363.50
Max. Negotiated Rate	$134,343.37
Rate for Payer: Aetna Commercial	$134,343.37
Rate for Payer: Aetna Medicare Advantage	$43,476.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94,554.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94,554.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$42,487.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94,554.81
Rate for Payer: Cigna Commercial	$85,741.82
Rate for Payer: Cigna Medicare Advantage	$42,487.89
Rate for Payer: Clover Medicare Advantage	$40,363.50
Rate for Payer: EmblemHealth Commercial	$127,463.67
Rate for Payer: Humana Medicare Advantage	$43,762.53
Rate for Payer: Oxford Commercial	$53,586.14
Rate for Payer: UnitedHealthcare Commercial	$60,825.25
Rate for Payer: UnitedHealthcare Medicare Advantage	$42,487.89
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$45,037.16
Rate for Payer: Wellcare Medicare Advantage	$42,487.89

OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC

Facility

$51,181.11

Service Code	MSDRG 804
Min. Negotiated Rate	$14,797.46
Max. Negotiated Rate	$51,181.11
Rate for Payer: Aetna Commercial	$45,724.15
Rate for Payer: Aetna Medicare Advantage	$14,797.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33,356.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33,356.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,060.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,356.07
Rate for Payer: Cigna Commercial	$29,182.48
Rate for Payer: Cigna Medicare Advantage	$17,060.37
Rate for Payer: Clover Medicare Advantage	$16,207.35
Rate for Payer: EmblemHealth Commercial	$51,181.11
Rate for Payer: Humana Medicare Advantage	$17,572.18
Rate for Payer: Oxford Commercial	$18,238.20
Rate for Payer: UnitedHealthcare Commercial	$20,702.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,060.37
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18,083.99
Rate for Payer: Wellcare Medicare Advantage	$17,060.37

OTHER OT CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8990GO
Hospital Charge Code	9109152
Hospital Revenue Code	430
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

OTHER OT CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8990GO
Hospital Charge Code	9109152
Hospital Revenue Code	430
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$686.00

OTHER OT D/C STATUS

Facility

$0.01

Service Code	HCPCS G8992GO
Hospital Charge Code	9109154
Hospital Revenue Code	430
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$686.00

OTHER OT D/C STATUS

Facility

$0.01

Service Code	HCPCS G8992GO
Hospital Charge Code	9109154
Hospital Revenue Code	430
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

OTHER OT GOAL STATUS

Facility

$0.01

Service Code	HCPCS G8991GO
Hospital Charge Code	9109153
Hospital Revenue Code	430
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

OTHER OT GOAL STATUS

Facility

$0.01

Service Code	HCPCS G8991GO
Hospital Charge Code	9109153
Hospital Revenue Code	430
Max. Negotiated Rate	$686.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$686.00

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$54,658.55

Service Code	APR-DRG 0294
Min. Negotiated Rate	$53,586.81
Max. Negotiated Rate	$54,658.55
Rate for Payer: Aetna Better Health Medicaid	$53,586.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$54,658.55

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$34,605.35

Service Code	APR-DRG 0293
Min. Negotiated Rate	$33,926.81
Max. Negotiated Rate	$34,605.35
Rate for Payer: Aetna Better Health Medicaid	$33,926.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$34,605.35

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$31,003.10

Service Code	APR-DRG 0292
Min. Negotiated Rate	$30,395.20
Max. Negotiated Rate	$31,003.10
Rate for Payer: Aetna Better Health Medicaid	$30,395.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,003.10

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$27,399.48

Service Code	APR-DRG 0291
Min. Negotiated Rate	$26,862.24
Max. Negotiated Rate	$27,399.48
Rate for Payer: Aetna Better Health Medicaid	$26,862.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,399.48

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$33,223.46

Service Code	APR-DRG 1823
Min. Negotiated Rate	$29,013.61
Max. Negotiated Rate	$33,223.46
Rate for Payer: Aetna Better Health Medicaid	$32,572.02
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$33,223.46
Rate for Payer: Wellpoint Medicaid Managed Care	$29,013.61

Know your out-of-pocket cost for care.

All Charges