Heights University Hospital

All Charges

Charge

Type

Setting

Price

POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC

Facility

$52,252.17

Service Code	MSDRG 858
Min. Negotiated Rate	$15,200.14
Max. Negotiated Rate	$52,252.17
Rate for Payer: Aetna Commercial	$46,968.43
Rate for Payer: Aetna Medicare Advantage	$15,200.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35,285.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35,285.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,417.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35,285.76
Rate for Payer: Cigna Commercial	$29,976.60
Rate for Payer: Cigna Medicare Advantage	$17,417.39
Rate for Payer: Clover Medicare Advantage	$16,546.52
Rate for Payer: EmblemHealth Commercial	$52,252.17
Rate for Payer: Humana Medicare Advantage	$17,939.91
Rate for Payer: Oxford Commercial	$18,734.51
Rate for Payer: UnitedHealthcare Commercial	$21,265.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,417.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18,462.43
Rate for Payer: Wellcare Medicare Advantage	$17,417.39

POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE

Facility

$53,624.91

Service Code	APR-DRG 7114
Min. Negotiated Rate	$51,171.07
Max. Negotiated Rate	$53,624.91
Rate for Payer: Aetna Better Health Medicaid	$52,573.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$53,624.91
Rate for Payer: Wellpoint Medicaid Managed Care	$51,171.07

POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE

Facility

$14,378.01

Service Code	APR-DRG 7111
Min. Negotiated Rate	$9,926.12
Max. Negotiated Rate	$14,378.01
Rate for Payer: Aetna Better Health Medicaid	$14,096.09
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,378.01
Rate for Payer: Wellpoint Medicaid Managed Care	$9,926.12

POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE

Facility

$18,578.57

Service Code	APR-DRG 7112
Min. Negotiated Rate	$13,734.30
Max. Negotiated Rate	$18,578.57
Rate for Payer: Aetna Better Health Medicaid	$18,214.28
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,578.57
Rate for Payer: Wellpoint Medicaid Managed Care	$13,734.30

POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE

Facility

$30,341.69

Service Code	APR-DRG 7113
Min. Negotiated Rate	$24,862.52
Max. Negotiated Rate	$30,341.69
Rate for Payer: Aetna Better Health Medicaid	$29,746.75
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$30,341.69
Rate for Payer: Wellpoint Medicaid Managed Care	$24,862.52

POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$27,913.49

Service Code	APR-DRG 7214
Min. Negotiated Rate	$23,697.45
Max. Negotiated Rate	$27,913.49
Rate for Payer: Aetna Better Health Medicaid	$27,366.17
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,913.49
Rate for Payer: Wellpoint Medicaid Managed Care	$23,697.45

POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$7,651.08

Service Code	APR-DRG 7211
Min. Negotiated Rate	$5,463.65
Max. Negotiated Rate	$7,651.08
Rate for Payer: Aetna Better Health Medicaid	$7,501.06
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,651.08
Rate for Payer: Wellpoint Medicaid Managed Care	$5,463.65

POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$15,865.31

Service Code	APR-DRG 7213
Min. Negotiated Rate	$12,137.63
Max. Negotiated Rate	$15,865.31
Rate for Payer: Aetna Better Health Medicaid	$15,554.23
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,865.31
Rate for Payer: Wellpoint Medicaid Managed Care	$12,137.63

POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$10,084.87

Service Code	APR-DRG 7212
Min. Negotiated Rate	$7,250.83
Max. Negotiated Rate	$10,084.87
Rate for Payer: Aetna Better Health Medicaid	$9,887.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,084.87
Rate for Payer: Wellpoint Medicaid Managed Care	$7,250.83

POSTOP IMPLANT 8X14MM

Facility

$7,475.00

Hospital Charge Code	270656549
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,808.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

POSTOP IMPLANT 8X14MM

Facility

$7,475.00

Hospital Charge Code	270656549
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,242.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

POST OUTRIGGER STRAIGHT 11mm

Facility

$765.00

Hospital Charge Code	270646014
Hospital Revenue Code	270
Min. Negotiated Rate	$99.45
Max. Negotiated Rate	$382.50
Rate for Payer: Aetna Commercial	$229.50
Rate for Payer: Aetna Medicare Advantage	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.07
Rate for Payer: Cigna Commercial	$382.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.45
Rate for Payer: Oxford Commercial	$382.50
Rate for Payer: Qualcare PPO/HMO/WC	$114.75
Rate for Payer: UnitedHealthcare Commercial	$382.50

POST OUTRIGGER STRAIGHT 11mm

Facility

$765.00

Hospital Charge Code	270646014
Hospital Revenue Code	270
Min. Negotiated Rate	$114.75
Max. Negotiated Rate	$114.75
Rate for Payer: Qualcare PPO/HMO/WC	$114.75

POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES

Facility

$60,869.91

Service Code	MSDRG 769
Min. Negotiated Rate	$18,440.08
Max. Negotiated Rate	$60,869.91
Rate for Payer: Aetna Commercial	$56,979.85
Rate for Payer: Aetna Medicare Advantage	$18,440.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42,453.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42,453.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,289.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42,453.18
Rate for Payer: Cigna Commercial	$36,366.19
Rate for Payer: Cigna Medicare Advantage	$20,289.97
Rate for Payer: Clover Medicare Advantage	$19,275.47
Rate for Payer: EmblemHealth Commercial	$60,869.91
Rate for Payer: Humana Medicare Advantage	$20,898.67
Rate for Payer: Oxford Commercial	$22,727.81
Rate for Payer: UnitedHealthcare Commercial	$25,798.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,289.97
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21,507.37
Rate for Payer: Wellcare Medicare Advantage	$20,289.97

POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES

Facility

$30,825.36

Service Code	MSDRG 776
Min. Negotiated Rate	$7,144.47
Max. Negotiated Rate	$30,825.36
Rate for Payer: Aetna Commercial	$22,076.41
Rate for Payer: Aetna Medicare Advantage	$7,144.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,848.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,848.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,275.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,848.24
Rate for Payer: Cigna Commercial	$14,089.80
Rate for Payer: Cigna Medicare Advantage	$10,275.12
Rate for Payer: Clover Medicare Advantage	$9,761.36
Rate for Payer: EmblemHealth Commercial	$30,825.36
Rate for Payer: Humana Medicare Advantage	$10,583.37
Rate for Payer: Oxford Commercial	$8,805.72
Rate for Payer: UnitedHealthcare Commercial	$9,995.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,275.12
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10,891.63
Rate for Payer: Wellcare Medicare Advantage	$10,275.12

POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE

Facility

$3,297.52

Service Code	APR-DRG 5611
Min. Negotiated Rate	$2,427.13
Max. Negotiated Rate	$3,297.52
Rate for Payer: Aetna Better Health Medicaid	$3,232.86
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$3,297.52
Rate for Payer: Wellpoint Medicaid Managed Care	$2,427.13

POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE

Facility

$18,219.03

Service Code	APR-DRG 5614
Min. Negotiated Rate	$16,515.52
Max. Negotiated Rate	$18,219.03
Rate for Payer: Aetna Better Health Medicaid	$17,861.79
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,219.03
Rate for Payer: Wellpoint Medicaid Managed Care	$16,515.52

POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE

Facility

$8,076.57

Service Code	APR-DRG 5613
Min. Negotiated Rate	$6,275.54
Max. Negotiated Rate	$8,076.57
Rate for Payer: Aetna Better Health Medicaid	$7,918.21
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,076.57
Rate for Payer: Wellpoint Medicaid Managed Care	$6,275.54

POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE

Facility

$4,982.74

Service Code	APR-DRG 5612
Min. Negotiated Rate	$3,905.52
Max. Negotiated Rate	$4,982.74
Rate for Payer: Aetna Better Health Medicaid	$4,885.04
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,982.74
Rate for Payer: Wellpoint Medicaid Managed Care	$3,905.52

POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$5,565.55

Service Code	APR-DRG 5481
Min. Negotiated Rate	$5,456.42
Max. Negotiated Rate	$5,565.55
Rate for Payer: Aetna Better Health Medicaid	$5,456.42
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,565.55

POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$11,470.98

Service Code	APR-DRG 5482
Min. Negotiated Rate	$11,246.06
Max. Negotiated Rate	$11,470.98
Rate for Payer: Aetna Better Health Medicaid	$11,246.06
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,470.98

POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$19,630.47

Service Code	APR-DRG 5483
Min. Negotiated Rate	$19,245.56
Max. Negotiated Rate	$19,630.47
Rate for Payer: Aetna Better Health Medicaid	$19,245.56
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,630.47

POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$43,056.89

Service Code	APR-DRG 5484
Min. Negotiated Rate	$42,212.64
Max. Negotiated Rate	$43,056.89
Rate for Payer: Aetna Better Health Medicaid	$42,212.64
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$43,056.89

POST PARTUM TUBAL LIGATION

Facility

$2,200.00

Hospital Charge Code	1800242
Hospital Revenue Code	722
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

POST PARTUM TUBAL LIGATION

Facility

$2,200.00

Hospital Charge Code	1800242
Hospital Revenue Code	722
Min. Negotiated Rate	$286.00
Max. Negotiated Rate	$2,979.00
Rate for Payer: Aetna Commercial	$660.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$286.00
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00
Rate for Payer: UnitedHealthcare Commercial	$2,979.00

Know your out-of-pocket cost for care.

All Charges