Heights University Hospital

All Charges

Charge

Type

Setting

Price

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC

Facility

$61,978.71

Service Code	MSDRG 580
Min. Negotiated Rate	$18,856.94
Max. Negotiated Rate	$61,978.71
Rate for Payer: Aetna Commercial	$58,267.94
Rate for Payer: Aetna Medicare Advantage	$18,856.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48,242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48,242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,659.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48,242.25
Rate for Payer: Cigna Commercial	$37,188.29
Rate for Payer: Cigna Medicare Advantage	$20,659.57
Rate for Payer: Clover Medicare Advantage	$19,626.59
Rate for Payer: EmblemHealth Commercial	$61,978.71
Rate for Payer: Humana Medicare Advantage	$21,279.36
Rate for Payer: Oxford Commercial	$23,241.60
Rate for Payer: UnitedHealthcare Commercial	$26,381.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,659.57
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,899.14
Rate for Payer: Wellcare Medicare Advantage	$20,659.57

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC

Facility

$109,201.84

Service Code	MSDRG 579
Min. Negotiated Rate	$33,510.33
Max. Negotiated Rate	$109,201.84
Rate for Payer: Aetna Commercial	$109,201.84
Rate for Payer: Aetna Medicare Advantage	$35,340.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92,073.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92,073.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35,274.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92,073.78
Rate for Payer: Cigna Commercial	$69,695.76
Rate for Payer: Cigna Medicare Advantage	$35,274.03
Rate for Payer: Clover Medicare Advantage	$33,510.33
Rate for Payer: EmblemHealth Commercial	$105,822.09
Rate for Payer: Humana Medicare Advantage	$36,332.25
Rate for Payer: Oxford Commercial	$43,557.82
Rate for Payer: UnitedHealthcare Commercial	$49,442.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$35,274.03
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$37,390.47
Rate for Payer: Wellcare Medicare Advantage	$35,274.03

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC

Facility

$53,709.27

Service Code	MSDRG 581
Min. Negotiated Rate	$15,747.95
Max. Negotiated Rate	$53,709.27
Rate for Payer: Aetna Commercial	$48,661.17
Rate for Payer: Aetna Medicare Advantage	$15,747.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,215.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,215.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,903.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,215.45
Rate for Payer: Cigna Commercial	$31,056.96
Rate for Payer: Cigna Medicare Advantage	$17,903.09
Rate for Payer: Clover Medicare Advantage	$17,007.94
Rate for Payer: EmblemHealth Commercial	$53,709.27
Rate for Payer: Humana Medicare Advantage	$18,440.18
Rate for Payer: Oxford Commercial	$19,409.69
Rate for Payer: UnitedHealthcare Commercial	$22,031.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,903.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18,977.28
Rate for Payer: Wellcare Medicare Advantage	$17,903.09

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$14,157.59

Service Code	APR-DRG 3642
Min. Negotiated Rate	$10,851.99
Max. Negotiated Rate	$14,157.59
Rate for Payer: Aetna Better Health Medicaid	$13,879.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,157.59
Rate for Payer: Wellpoint Medicaid Managed Care	$10,851.99

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$39,405.52

Service Code	APR-DRG 3644
Min. Negotiated Rate	$33,050.65
Max. Negotiated Rate	$39,405.52
Rate for Payer: Aetna Better Health Medicaid	$38,632.86
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$39,405.52
Rate for Payer: Wellpoint Medicaid Managed Care	$33,050.65

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$10,364.33

Service Code	APR-DRG 3641
Min. Negotiated Rate	$7,851.94
Max. Negotiated Rate	$10,364.33
Rate for Payer: Aetna Better Health Medicaid	$10,161.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,364.33
Rate for Payer: Wellpoint Medicaid Managed Care	$7,851.94

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$22,371.82

Service Code	APR-DRG 3643
Min. Negotiated Rate	$16,867.75
Max. Negotiated Rate	$22,371.82
Rate for Payer: Aetna Better Health Medicaid	$21,933.16
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,371.82
Rate for Payer: Wellpoint Medicaid Managed Care	$16,867.75

Other SLP Current Status CH

Facility

$0.01

Service Code	HCPCS G9174GNCH
Hospital Charge Code	74204089CH
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

Other SLP Current Status CH

Facility

$0.01

Service Code	HCPCS G9174GNCH
Hospital Charge Code	74204089CH
Hospital Revenue Code	440
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) 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 SLP Current Status CI

Facility

$0.01

Service Code	HCPCS G9174GNCI
Hospital Charge Code	74204089CI
Hospital Revenue Code	440
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) 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 SLP Current Status CI

Facility

$0.01

Service Code	HCPCS G9174GNCI
Hospital Charge Code	74204089CI
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

Other SLP Current Status CJ

Facility

$0.01

Service Code	HCPCS G9174GNCJ
Hospital Charge Code	74204089CJ
Hospital Revenue Code	440
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) 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 SLP Current Status CJ

Facility

$0.01

Service Code	HCPCS G9174GNCJ
Hospital Charge Code	74204089CJ
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

Other SLP Current Status CK

Facility

$0.01

Service Code	HCPCS G9174GNCK
Hospital Charge Code	74204089CK
Hospital Revenue Code	440
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) 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 SLP Current Status CK

Facility

$0.01

Service Code	HCPCS G9174GNCK
Hospital Charge Code	74204089CK
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

Other SLP Current Status CL

Facility

$0.01

Service Code	HCPCS G9174GNCL
Hospital Charge Code	74204089CL
Hospital Revenue Code	440
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) 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 SLP Current Status CL

Facility

$0.01

Service Code	HCPCS G9174GNCL
Hospital Charge Code	74204089CL
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

Other SLP Current Status CM

Facility

$0.01

Service Code	HCPCS G9174GNCM
Hospital Charge Code	74204089CM
Hospital Revenue Code	440
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) 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 SLP Current Status CM

Facility

$0.01

Service Code	HCPCS G9174GNCM
Hospital Charge Code	74204089CM
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

OTHER SLP CURRENT STATUS CN

Facility

$0.01

Service Code	HCPCS G9174GNCN
Hospital Charge Code	74204089CN
Hospital Revenue Code	440
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) 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 SLP CURRENT STATUS CN

Facility

$0.01

Service Code	HCPCS G9174GNCN
Hospital Charge Code	74204089CN
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

Other SLP D/C Status CH

Facility

$0.01

Service Code	HCPCS G9176GNCH
Hospital Charge Code	74204093CH
Hospital Revenue Code	440
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) 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 SLP D/C Status CH

Facility

$0.01

Service Code	HCPCS G9176GNCH
Hospital Charge Code	74204093CH
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

Other SLP D/C Status CI

Facility

$0.01

Service Code	HCPCS G9176GNCI
Hospital Charge Code	74204093CI
Hospital Revenue Code	440
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) 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 SLP D/C Status CI

Facility

$0.01

Service Code	HCPCS G9176GNCI
Hospital Charge Code	74204093CI
Hospital Revenue Code	440
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

Know your out-of-pocket cost for care.

All Charges