Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$58,366.12

Service Code	APR-DRG 1824
Min. Negotiated Rate	$51,873.52
Max. Negotiated Rate	$58,366.12
Rate for Payer: Aetna Better Health Medicaid	$57,221.69
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$58,366.12
Rate for Payer: Wellpoint Medicaid Managed Care	$51,873.52

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$25,047.15

Service Code	APR-DRG 1821
Min. Negotiated Rate	$18,172.57
Max. Negotiated Rate	$25,047.15
Rate for Payer: Aetna Better Health Medicaid	$24,556.03
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,047.15
Rate for Payer: Wellpoint Medicaid Managed Care	$18,172.57

OTHER PNEUMONIA

Facility

$12,160.50

Service Code	APR-DRG 1393
Min. Negotiated Rate	$9,196.09
Max. Negotiated Rate	$12,160.50
Rate for Payer: Aetna Better Health Medicaid	$11,922.06
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,160.50
Rate for Payer: Wellpoint Medicaid Managed Care	$9,196.09

OTHER PNEUMONIA

Facility

$8,526.02

Service Code	APR-DRG 1392
Min. Negotiated Rate	$5,852.72
Max. Negotiated Rate	$8,526.02
Rate for Payer: Aetna Better Health Medicaid	$8,358.84
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,526.02
Rate for Payer: Wellpoint Medicaid Managed Care	$5,852.72

OTHER PNEUMONIA

Facility

$6,249.47

Service Code	APR-DRG 1391
Min. Negotiated Rate	$4,166.93
Max. Negotiated Rate	$6,249.47
Rate for Payer: Aetna Better Health Medicaid	$6,126.93
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,249.47
Rate for Payer: Wellpoint Medicaid Managed Care	$4,166.93

OTHER PNEUMONIA

Facility

$20,987.10

Service Code	APR-DRG 1394
Min. Negotiated Rate	$17,690.82
Max. Negotiated Rate	$20,987.10
Rate for Payer: Aetna Better Health Medicaid	$20,575.59
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,987.10
Rate for Payer: Wellpoint Medicaid Managed Care	$17,690.82

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$30,097.30

Service Code	APR-DRG 4053
Min. Negotiated Rate	$22,412.95
Max. Negotiated Rate	$30,097.30
Rate for Payer: Aetna Better Health Medicaid	$29,507.16
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$30,097.30
Rate for Payer: Wellpoint Medicaid Managed Care	$22,412.95

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$59,106.16

Service Code	APR-DRG 4054
Min. Negotiated Rate	$51,109.18
Max. Negotiated Rate	$59,106.16
Rate for Payer: Aetna Better Health Medicaid	$57,947.22
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$59,106.16
Rate for Payer: Wellpoint Medicaid Managed Care	$51,109.18

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$19,940.80

Service Code	APR-DRG 4052
Min. Negotiated Rate	$15,084.80
Max. Negotiated Rate	$19,940.80
Rate for Payer: Aetna Better Health Medicaid	$19,549.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,940.80
Rate for Payer: Wellpoint Medicaid Managed Care	$15,084.80

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$17,470.47

Service Code	APR-DRG 4051
Min. Negotiated Rate	$12,168.85
Max. Negotiated Rate	$17,470.47
Rate for Payer: Aetna Better Health Medicaid	$17,127.91
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,470.47
Rate for Payer: Wellpoint Medicaid Managed Care	$12,168.85

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$14,451.10

Service Code	APR-DRG 6511
Min. Negotiated Rate	$9,929.69
Max. Negotiated Rate	$14,451.10
Rate for Payer: Aetna Better Health Medicaid	$14,167.75
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,451.10
Rate for Payer: Wellpoint Medicaid Managed Care	$9,929.69

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$20,951.93

Service Code	APR-DRG 6512
Min. Negotiated Rate	$13,943.38
Max. Negotiated Rate	$20,951.93
Rate for Payer: Aetna Better Health Medicaid	$20,541.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,951.93
Rate for Payer: Wellpoint Medicaid Managed Care	$13,943.38

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$29,458.30

Service Code	APR-DRG 6513
Min. Negotiated Rate	$24,607.52
Max. Negotiated Rate	$29,458.30
Rate for Payer: Aetna Better Health Medicaid	$28,880.69
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$29,458.30
Rate for Payer: Wellpoint Medicaid Managed Care	$24,607.52

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$58,616.02

Service Code	APR-DRG 6514
Min. Negotiated Rate	$51,639.87
Max. Negotiated Rate	$58,616.02
Rate for Payer: Aetna Better Health Medicaid	$57,466.69
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$58,616.02
Rate for Payer: Wellpoint Medicaid Managed Care	$51,639.87

OTHER PT CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8990GP
Hospital Charge Code	9109142
Hospital Revenue Code	420
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

OTHER PT CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8990GP
Hospital Charge Code	9109142
Hospital Revenue Code	420
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 PT D/C STATUS

Facility

$0.01

Service Code	HCPCS G8992GP
Hospital Charge Code	9109144
Hospital Revenue Code	420
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 PT D/C STATUS

Facility

$0.01

Service Code	HCPCS G8992GP
Hospital Charge Code	9109144
Hospital Revenue Code	420
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

OTHER PT GOAL STATUS

Facility

$0.01

Service Code	HCPCS G8991GP
Hospital Charge Code	9109143
Hospital Revenue Code	420
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

OTHER PT GOAL STATUS

Facility

$0.01

Service Code	HCPCS G8991GP
Hospital Charge Code	9109143
Hospital Revenue Code	420
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 PT/OT CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8990GO
Hospital Charge Code	84201150
Hospital Revenue Code	439
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

OTHER PT/OT CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8990GO
Hospital Charge Code	74203111
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 PT/OT CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8990GP
Hospital Charge Code	84201132
Hospital Revenue Code	429
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

OTHER PT/OT CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8990GP
Hospital Charge Code	84201132
Hospital Revenue Code	429
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

Know your out-of-pocket cost for care.

All Charges