Heights University Hospital

All Charges

Charge

Type

Setting

Price

RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC

Facility

$40,151.34

Service Code	MSDRG 178
Min. Negotiated Rate	$10,650.68
Max. Negotiated Rate	$40,151.34
Rate for Payer: Aetna Commercial	$32,910.60
Rate for Payer: Aetna Medicare Advantage	$10,650.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,291.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,291.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,383.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,291.33
Rate for Payer: Cigna Commercial	$21,004.50
Rate for Payer: Cigna Medicare Advantage	$13,383.78
Rate for Payer: Clover Medicare Advantage	$12,714.59
Rate for Payer: EmblemHealth Commercial	$40,151.34
Rate for Payer: Humana Medicare Advantage	$13,785.29
Rate for Payer: Oxford Commercial	$13,127.20
Rate for Payer: UnitedHealthcare Commercial	$14,900.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,383.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,186.81
Rate for Payer: Wellcare Medicare Advantage	$13,383.78

RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC

Facility

$57,180.75

Service Code	MSDRG 177
Min. Negotiated Rate	$17,053.09
Max. Negotiated Rate	$57,180.75
Rate for Payer: Aetna Commercial	$52,694.05
Rate for Payer: Aetna Medicare Advantage	$17,053.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46,863.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46,863.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,060.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46,863.90
Rate for Payer: Cigna Commercial	$33,630.87
Rate for Payer: Cigna Medicare Advantage	$19,060.25
Rate for Payer: Clover Medicare Advantage	$18,107.24
Rate for Payer: EmblemHealth Commercial	$57,180.75
Rate for Payer: Humana Medicare Advantage	$19,632.06
Rate for Payer: Oxford Commercial	$21,018.31
Rate for Payer: UnitedHealthcare Commercial	$23,857.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,060.25
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,203.87
Rate for Payer: Wellcare Medicare Advantage	$19,060.25

RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC

Facility

$33,736.65

Service Code	MSDRG 179
Min. Negotiated Rate	$8,239.00
Max. Negotiated Rate	$33,736.65
Rate for Payer: Aetna Commercial	$25,458.51
Rate for Payer: Aetna Medicare Advantage	$8,239.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,950.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,950.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,245.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,950.92
Rate for Payer: Cigna Commercial	$16,248.35
Rate for Payer: Cigna Medicare Advantage	$11,245.55
Rate for Payer: Clover Medicare Advantage	$10,683.27
Rate for Payer: EmblemHealth Commercial	$33,736.65
Rate for Payer: Humana Medicare Advantage	$11,582.92
Rate for Payer: Oxford Commercial	$10,154.75
Rate for Payer: UnitedHealthcare Commercial	$11,526.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,245.55
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,920.28
Rate for Payer: Wellcare Medicare Advantage	$11,245.55

RESPIRATORY MALIGNANCY

Facility

$11,520.11

Service Code	APR-DRG 1362
Min. Negotiated Rate	$8,478.04
Max. Negotiated Rate	$11,520.11
Rate for Payer: Aetna Better Health Medicaid	$11,294.23
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,520.11
Rate for Payer: Wellpoint Medicaid Managed Care	$8,478.04

RESPIRATORY MALIGNANCY

Facility

$24,537.36

Service Code	APR-DRG 1364
Min. Negotiated Rate	$20,791.42
Max. Negotiated Rate	$24,537.36
Rate for Payer: Aetna Better Health Medicaid	$24,056.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,537.36
Rate for Payer: Wellpoint Medicaid Managed Care	$20,791.42

RESPIRATORY MALIGNANCY

Facility

$16,445.28

Service Code	APR-DRG 1363
Min. Negotiated Rate	$12,823.08
Max. Negotiated Rate	$16,445.28
Rate for Payer: Aetna Better Health Medicaid	$16,122.82
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,445.28
Rate for Payer: Wellpoint Medicaid Managed Care	$12,823.08

RESPIRATORY MALIGNANCY

Facility

$8,450.17

Service Code	APR-DRG 1361
Min. Negotiated Rate	$6,673.25
Max. Negotiated Rate	$8,450.17
Rate for Payer: Aetna Better Health Medicaid	$8,284.48
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,450.17
Rate for Payer: Wellpoint Medicaid Managed Care	$6,673.25

RESPIRATORY NEOPLASMS WITH CC

Facility

$42,908.79

Service Code	MSDRG 181
Min. Negotiated Rate	$11,687.38
Max. Negotiated Rate	$42,908.79
Rate for Payer: Aetna Commercial	$36,114.00
Rate for Payer: Aetna Medicare Advantage	$11,687.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,323.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,323.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,302.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,323.70
Rate for Payer: Cigna Commercial	$23,048.99
Rate for Payer: Cigna Medicare Advantage	$14,302.93
Rate for Payer: Clover Medicare Advantage	$13,587.78
Rate for Payer: EmblemHealth Commercial	$42,908.79
Rate for Payer: Humana Medicare Advantage	$14,732.02
Rate for Payer: Oxford Commercial	$14,404.95
Rate for Payer: UnitedHealthcare Commercial	$16,350.96
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,302.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,161.11
Rate for Payer: Wellcare Medicare Advantage	$14,302.93

RESPIRATORY NEOPLASMS WITH MCC

Facility

$63,081.69

Service Code	MSDRG 180
Min. Negotiated Rate	$19,271.62
Max. Negotiated Rate	$63,081.69
Rate for Payer: Aetna Commercial	$59,549.31
Rate for Payer: Aetna Medicare Advantage	$19,271.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47,966.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47,966.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,027.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47,966.58
Rate for Payer: Cigna Commercial	$38,006.09
Rate for Payer: Cigna Medicare Advantage	$21,027.23
Rate for Payer: Clover Medicare Advantage	$19,975.87
Rate for Payer: EmblemHealth Commercial	$63,081.69
Rate for Payer: Humana Medicare Advantage	$21,658.05
Rate for Payer: Oxford Commercial	$23,752.70
Rate for Payer: UnitedHealthcare Commercial	$26,961.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,027.23
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,288.86
Rate for Payer: Wellcare Medicare Advantage	$21,027.23

RESPIRATORY NEOPLASMS WITHOUT CC/MCC

Facility

$33,701.82

Service Code	MSDRG 182
Min. Negotiated Rate	$8,225.90
Max. Negotiated Rate	$33,701.82
Rate for Payer: Aetna Commercial	$25,418.03
Rate for Payer: Aetna Medicare Advantage	$8,225.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,053.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,053.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,233.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,053.60
Rate for Payer: Cigna Commercial	$16,011.62
Rate for Payer: Cigna Medicare Advantage	$11,233.94
Rate for Payer: Clover Medicare Advantage	$10,672.24
Rate for Payer: EmblemHealth Commercial	$33,701.82
Rate for Payer: Humana Medicare Advantage	$11,570.96
Rate for Payer: Oxford Commercial	$10,006.80
Rate for Payer: UnitedHealthcare Commercial	$11,358.65
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,233.94
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,907.98
Rate for Payer: Wellcare Medicare Advantage	$11,233.94

RESPIRATORY SIGNS AND SYMPTOMS

Facility

$35,257.59

Service Code	MSDRG 204
Min. Negotiated Rate	$8,810.82
Max. Negotiated Rate	$35,257.59
Rate for Payer: Aetna Commercial	$27,225.43
Rate for Payer: Aetna Medicare Advantage	$8,810.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,604.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,604.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,752.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,604.94
Rate for Payer: Cigna Commercial	$17,376.06
Rate for Payer: Cigna Medicare Advantage	$11,752.53
Rate for Payer: Clover Medicare Advantage	$11,164.90
Rate for Payer: EmblemHealth Commercial	$35,257.59
Rate for Payer: Humana Medicare Advantage	$12,105.11
Rate for Payer: Oxford Commercial	$10,859.53
Rate for Payer: UnitedHealthcare Commercial	$12,326.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,752.53
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12,457.68
Rate for Payer: Wellcare Medicare Advantage	$11,752.53

RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$6,739.60

Service Code	APR-DRG 1441
Min. Negotiated Rate	$4,512.08
Max. Negotiated Rate	$6,739.60
Rate for Payer: Aetna Better Health Medicaid	$6,607.45
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,739.60
Rate for Payer: Wellpoint Medicaid Managed Care	$4,512.08

RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$13,136.55

Service Code	APR-DRG 1443
Min. Negotiated Rate	$7,723.56
Max. Negotiated Rate	$13,136.55
Rate for Payer: Aetna Better Health Medicaid	$12,878.97
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,136.55
Rate for Payer: Wellpoint Medicaid Managed Care	$7,723.56

RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$8,794.28

Service Code	APR-DRG 1442
Min. Negotiated Rate	$5,464.32
Max. Negotiated Rate	$8,794.28
Rate for Payer: Aetna Better Health Medicaid	$8,621.84
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,794.28
Rate for Payer: Wellpoint Medicaid Managed Care	$5,464.32

RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$22,220.12

Service Code	APR-DRG 1444
Min. Negotiated Rate	$13,546.94
Max. Negotiated Rate	$22,220.12
Rate for Payer: Aetna Better Health Medicaid	$21,784.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,220.12
Rate for Payer: Wellpoint Medicaid Managed Care	$13,546.94

RESPIRATORY SYNCYTIAL VIRUS AN

Facility

$180.00

Service Code	HCPCS 86756
Hospital Charge Code	38476182
Hospital Revenue Code	302
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

RESPIRATORY SYNCYTIAL VIRUS AN

Facility

$180.00

Service Code	HCPCS 86756
Hospital Charge Code	38476182
Hospital Revenue Code	302
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$51.48
Rate for Payer: Aetna Medicare Advantage	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.22
Rate for Payer: Cigna Commercial	$15.89
Rate for Payer: Cigna Medicare Advantage	$7.95
Rate for Payer: Clover Medicare Advantage	$15.10
Rate for Payer: EmblemHealth Commercial	$47.67
Rate for Payer: Humana Medicare Advantage	$16.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.89
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16.84
Rate for Payer: Wellcare Medicare Advantage	$15.89

RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS

Facility

$92,685.85

Service Code	MSDRG 208
Min. Negotiated Rate	$29,008.34
Max. Negotiated Rate	$92,685.85
Rate for Payer: Aetna Commercial	$92,685.85
Rate for Payer: Aetna Medicare Advantage	$29,995.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74,430.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74,430.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$30,535.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74,430.90
Rate for Payer: Cigna Commercial	$59,154.77
Rate for Payer: Cigna Medicare Advantage	$30,535.09
Rate for Payer: Clover Medicare Advantage	$29,008.34
Rate for Payer: EmblemHealth Commercial	$91,605.27
Rate for Payer: Humana Medicare Advantage	$31,451.14
Rate for Payer: Oxford Commercial	$36,970.01
Rate for Payer: UnitedHealthcare Commercial	$41,964.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$30,535.09
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$32,367.20
Rate for Payer: Wellcare Medicare Advantage	$30,535.09

RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$41,264.95

Service Code	APR-DRG 1301
Min. Negotiated Rate	$26,379.21
Max. Negotiated Rate	$41,264.95
Rate for Payer: Aetna Better Health Medicaid	$40,455.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$41,264.95
Rate for Payer: Wellpoint Medicaid Managed Care	$26,379.21

RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$46,671.79

Service Code	APR-DRG 1302
Min. Negotiated Rate	$29,268.67
Max. Negotiated Rate	$46,671.79
Rate for Payer: Aetna Better Health Medicaid	$45,756.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$46,671.79
Rate for Payer: Wellpoint Medicaid Managed Care	$29,268.67

RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$72,421.14

Service Code	APR-DRG 1304
Min. Negotiated Rate	$49,789.60
Max. Negotiated Rate	$72,421.14
Rate for Payer: Aetna Better Health Medicaid	$71,001.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$72,421.14
Rate for Payer: Wellpoint Medicaid Managed Care	$49,789.60

RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$55,398.66

Service Code	APR-DRG 1303
Min. Negotiated Rate	$36,252.88
Max. Negotiated Rate	$55,398.66
Rate for Payer: Aetna Better Health Medicaid	$54,312.41
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$55,398.66
Rate for Payer: Wellpoint Medicaid Managed Care	$36,252.88

RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS

Facility

$216,977.33

Service Code	MSDRG 207
Min. Negotiated Rate	$62,888.15
Max. Negotiated Rate	$216,977.33
Rate for Payer: Aetna Commercial	$216,977.33
Rate for Payer: Aetna Medicare Advantage	$70,219.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$190,487.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$190,487.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$66,198.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$190,487.97
Rate for Payer: Cigna Commercial	$138,481.18
Rate for Payer: Cigna Medicare Advantage	$66,198.05
Rate for Payer: Clover Medicare Advantage	$62,888.15
Rate for Payer: EmblemHealth Commercial	$198,594.15
Rate for Payer: Humana Medicare Advantage	$68,183.99
Rate for Payer: Oxford Commercial	$86,546.71
Rate for Payer: UnitedHealthcare Commercial	$98,238.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$66,198.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$70,169.93
Rate for Payer: Wellcare Medicare Advantage	$66,198.05

RESPIRATORY VIRUS PCR PANEL 1

Facility

$1,090.30

Service Code	HCPCS 87632
Hospital Charge Code	401387632
Hospital Revenue Code	306
Min. Negotiated Rate	$163.54
Max. Negotiated Rate	$163.54
Rate for Payer: Qualcare PPO/HMO/WC	$163.54

RESPIRATORY VIRUS PCR PANEL 1

Facility

$1,090.30

Service Code	HCPCS 87632
Hospital Charge Code	401387632
Hospital Revenue Code	306
Min. Negotiated Rate	$101.00
Max. Negotiated Rate	$798.97
Rate for Payer: Aetna Commercial	$706.51
Rate for Payer: Aetna Medicare Advantage	$218.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$798.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$798.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$218.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$526.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$798.97
Rate for Payer: Cigna Commercial	$218.06
Rate for Payer: Cigna Medicare Advantage	$109.03
Rate for Payer: Clover Medicare Advantage	$207.16
Rate for Payer: EmblemHealth Commercial	$654.18
Rate for Payer: Humana Medicare Advantage	$224.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$163.54
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$218.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$231.14
Rate for Payer: Wellcare Medicare Advantage	$218.06

Know your out-of-pocket cost for care.

All Charges