Heights University Hospital

All Charges

Charge

Type

Setting

Price

PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$38,784.79

Service Code	APR-DRG 1753
Min. Negotiated Rate	$25,395.87
Max. Negotiated Rate	$38,784.79
Rate for Payer: Aetna Better Health Medicaid	$38,024.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$38,784.79
Rate for Payer: Wellpoint Medicaid Managed Care	$25,395.87

PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$27,687.39

Service Code	APR-DRG 1751
Min. Negotiated Rate	$18,151.76
Max. Negotiated Rate	$27,687.39
Rate for Payer: Aetna Better Health Medicaid	$27,144.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,687.39
Rate for Payer: Wellpoint Medicaid Managed Care	$18,151.76

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES

Facility

$91,745.07

Service Code	MSDRG 321
Min. Negotiated Rate	$28,751.89
Max. Negotiated Rate	$91,745.07
Rate for Payer: Aetna Commercial	$91,745.07
Rate for Payer: Aetna Medicare Advantage	$29,690.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$30,265.15
Rate for Payer: Cigna Commercial	$58,554.34
Rate for Payer: Cigna Medicare Advantage	$30,265.15
Rate for Payer: Clover Medicare Advantage	$28,751.89
Rate for Payer: EmblemHealth Commercial	$90,795.45
Rate for Payer: Humana Medicare Advantage	$31,173.10
Rate for Payer: Oxford Commercial	$36,594.76
Rate for Payer: UnitedHealthcare Commercial	$41,538.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$30,265.15
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$32,081.06
Rate for Payer: Wellcare Medicare Advantage	$30,265.15

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC

Facility

$62,994.60

Service Code	MSDRG 322
Min. Negotiated Rate	$19,238.88
Max. Negotiated Rate	$62,994.60
Rate for Payer: Aetna Commercial	$59,448.14
Rate for Payer: Aetna Medicare Advantage	$19,238.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,998.20
Rate for Payer: Cigna Commercial	$37,941.52
Rate for Payer: Cigna Medicare Advantage	$20,998.20
Rate for Payer: Clover Medicare Advantage	$19,948.29
Rate for Payer: EmblemHealth Commercial	$62,994.60
Rate for Payer: Humana Medicare Advantage	$21,628.15
Rate for Payer: Oxford Commercial	$23,712.35
Rate for Payer: UnitedHealthcare Commercial	$26,915.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,998.20
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,258.09
Rate for Payer: Wellcare Medicare Advantage	$20,998.20

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC

Facility

$75,170.91

Service Code	MSDRG 250
Min. Negotiated Rate	$23,804.12
Max. Negotiated Rate	$75,170.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64,782.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64,782.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64,782.45

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC

Facility

$55,201.20

Service Code	MSDRG 251
Min. Negotiated Rate	$16,308.86
Max. Negotiated Rate	$55,201.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43,831.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43,831.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43,831.53

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC

Facility

$75,170.91

Service Code	MSDRG 250
Min. Negotiated Rate	$23,804.12
Max. Negotiated Rate	$75,170.91
Rate for Payer: Aetna Commercial	$73,593.63
Rate for Payer: Aetna Medicare Advantage	$23,816.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25,056.97
Rate for Payer: Cigna Commercial	$46,969.58
Rate for Payer: Cigna Medicare Advantage	$25,056.97
Rate for Payer: Clover Medicare Advantage	$23,804.12
Rate for Payer: EmblemHealth Commercial	$75,170.91
Rate for Payer: Humana Medicare Advantage	$25,808.68
Rate for Payer: Oxford Commercial	$29,354.62
Rate for Payer: UnitedHealthcare Commercial	$33,320.23
Rate for Payer: UnitedHealthcare Medicare Advantage	$25,056.97
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$26,560.39
Rate for Payer: Wellcare Medicare Advantage	$25,056.97

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC

Facility

$55,201.20

Service Code	MSDRG 251
Min. Negotiated Rate	$16,308.86
Max. Negotiated Rate	$55,201.20
Rate for Payer: Aetna Commercial	$50,394.38
Rate for Payer: Aetna Medicare Advantage	$16,308.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,400.40
Rate for Payer: Cigna Commercial	$32,163.13
Rate for Payer: Cigna Medicare Advantage	$18,400.40
Rate for Payer: Clover Medicare Advantage	$17,480.38
Rate for Payer: EmblemHealth Commercial	$55,201.20
Rate for Payer: Humana Medicare Advantage	$18,952.41
Rate for Payer: Oxford Commercial	$20,101.03
Rate for Payer: UnitedHealthcare Commercial	$22,816.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,400.40
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,504.42
Rate for Payer: Wellcare Medicare Advantage	$18,400.40

PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC

Facility

$115,949.19

Service Code	MSDRG 359
Min. Negotiated Rate	$35,349.54
Max. Negotiated Rate	$115,949.19
Rate for Payer: Aetna Commercial	$115,949.19
Rate for Payer: Aetna Medicare Advantage	$37,524.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37,210.04
Rate for Payer: Cigna Commercial	$74,002.11
Rate for Payer: Cigna Medicare Advantage	$37,210.04
Rate for Payer: Clover Medicare Advantage	$35,349.54
Rate for Payer: EmblemHealth Commercial	$111,630.12
Rate for Payer: Humana Medicare Advantage	$38,326.34
Rate for Payer: Oxford Commercial	$46,249.17
Rate for Payer: UnitedHealthcare Commercial	$52,497.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$37,210.04
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$39,442.64
Rate for Payer: Wellcare Medicare Advantage	$37,210.04

PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC

Facility

$81,899.07

Service Code	MSDRG 360
Min. Negotiated Rate	$25,934.71
Max. Negotiated Rate	$81,899.07
Rate for Payer: Aetna Commercial	$81,409.91
Rate for Payer: Aetna Medicare Advantage	$26,346.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,299.69
Rate for Payer: Cigna Commercial	$51,958.15
Rate for Payer: Cigna Medicare Advantage	$27,299.69
Rate for Payer: Clover Medicare Advantage	$25,934.71
Rate for Payer: EmblemHealth Commercial	$81,899.07
Rate for Payer: Humana Medicare Advantage	$28,118.68
Rate for Payer: Oxford Commercial	$32,472.33
Rate for Payer: UnitedHealthcare Commercial	$36,859.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,299.69
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$28,937.67
Rate for Payer: Wellcare Medicare Advantage	$27,299.69

PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE

Facility

$82,128.36

Service Code	MSDRG 318
Min. Negotiated Rate	$26,007.31
Max. Negotiated Rate	$82,128.36
Rate for Payer: Aetna Commercial	$81,676.30
Rate for Payer: Aetna Medicare Advantage	$26,432.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,376.12
Rate for Payer: Cigna Commercial	$52,128.17
Rate for Payer: Cigna Medicare Advantage	$27,376.12
Rate for Payer: Clover Medicare Advantage	$26,007.31
Rate for Payer: EmblemHealth Commercial	$82,128.36
Rate for Payer: Humana Medicare Advantage	$28,197.40
Rate for Payer: Oxford Commercial	$32,578.59
Rate for Payer: UnitedHealthcare Commercial	$36,979.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,376.12
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$29,018.69
Rate for Payer: Wellcare Medicare Advantage	$27,376.12

PERCUTANEOUS DISKECTOMY

Facility

$21,704.79

Service Code	HCPCS 62887
Hospital Charge Code	1600000400
Hospital Revenue Code	360
Min. Negotiated Rate	$3,255.72
Max. Negotiated Rate	$3,255.72
Rate for Payer: Qualcare PPO/HMO/WC	$3,255.72

PERCUTANEOUS DISKECTOMY

Facility

$21,704.79

Service Code	HCPCS 62287
Hospital Charge Code	1600000268
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$6,873.00
Rate for Payer: Aetna Commercial	$6,511.44
Rate for Payer: Aetna Medicare Advantage	$6,511.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,534.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,534.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,534.72
Rate for Payer: Cigna Commercial	$4,650.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,821.62
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,255.72
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

PERCUTANEOUS DISKECTOMY

Facility

$21,704.79

Service Code	HCPCS 62887
Hospital Charge Code	1600000400
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$10,852.40
Rate for Payer: Aetna Commercial	$6,511.44
Rate for Payer: Aetna Medicare Advantage	$6,511.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,534.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,534.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,534.72
Rate for Payer: Cigna Commercial	$10,852.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,821.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,255.72

PERCUTANEOUS DISKECTOMY

Facility

$21,704.79

Service Code	HCPCS 62287
Hospital Charge Code	1600000268
Hospital Revenue Code	360
Min. Negotiated Rate	$3,255.72
Max. Negotiated Rate	$3,255.72
Rate for Payer: Qualcare PPO/HMO/WC	$3,255.72

PERCUTANEOUS DISKECTOMY-

Facility

$16,003.26

Service Code	HCPCS 62380
Hospital Charge Code	16000768
Hospital Revenue Code	360
Min. Negotiated Rate	$2,400.49
Max. Negotiated Rate	$2,400.49
Rate for Payer: Qualcare PPO/HMO/WC	$2,400.49

PERCUTANEOUS DISKECTOMY-

Facility

$16,003.26

Service Code	HCPCS 62380
Hospital Charge Code	16000768
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$4,800.98
Rate for Payer: Aetna Medicare Advantage	$4,800.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,080.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,080.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,080.83
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,080.42
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,400.49
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

PERCUTANEOUS INSERTION KIT

Facility

$1,395.00

Hospital Charge Code	270675965
Hospital Revenue Code	272
Min. Negotiated Rate	$181.35
Max. Negotiated Rate	$697.50
Rate for Payer: Aetna Commercial	$418.50
Rate for Payer: Aetna Medicare Advantage	$418.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$355.73
Rate for Payer: Cigna Commercial	$697.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.35
Rate for Payer: Oxford Commercial	$697.50
Rate for Payer: Qualcare PPO/HMO/WC	$209.25
Rate for Payer: UnitedHealthcare Commercial	$697.50

PERCUTANEOUS INSERTION KIT

Facility

$1,395.00

Hospital Charge Code	270675965
Hospital Revenue Code	272
Min. Negotiated Rate	$209.25
Max. Negotiated Rate	$209.25
Rate for Payer: Qualcare PPO/HMO/WC	$209.25

PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$45,619.90

Service Code	APR-DRG 0303
Min. Negotiated Rate	$44,725.39
Max. Negotiated Rate	$45,619.90
Rate for Payer: Aetna Better Health Medicaid	$44,725.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$45,619.90

PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$33,406.03

Service Code	APR-DRG 0302
Min. Negotiated Rate	$32,751.01
Max. Negotiated Rate	$33,406.03
Rate for Payer: Aetna Better Health Medicaid	$32,751.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$33,406.03

PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$25,240.93

Service Code	APR-DRG 0301
Min. Negotiated Rate	$24,746.01
Max. Negotiated Rate	$25,240.93
Rate for Payer: Aetna Better Health Medicaid	$24,746.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,240.93

PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$60,665.09

Service Code	APR-DRG 0304
Min. Negotiated Rate	$59,475.58
Max. Negotiated Rate	$60,665.09
Rate for Payer: Aetna Better Health Medicaid	$59,475.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$60,665.09

PERCUTANEOUS LMBR DECOMPR

Facility

$18,840.10

Service Code	HCPCS 22533
Hospital Charge Code	1600000821
Hospital Revenue Code	360
Min. Negotiated Rate	$2,826.01
Max. Negotiated Rate	$2,826.01
Rate for Payer: Qualcare PPO/HMO/WC	$2,826.01

PERCUTANEOUS LMBR DECOMPR

Facility

$18,840.10

Service Code	HCPCS 22533
Hospital Charge Code	1600000821
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$41,754.94
Rate for Payer: Aetna Commercial	$5,652.03
Rate for Payer: Aetna Medicare Advantage	$5,652.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,804.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,804.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,804.23
Rate for Payer: Cigna Commercial	$41,754.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,449.21
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,826.01
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

Know your out-of-pocket cost for care.

All Charges