Heights University Hospital

All Charges

Charge

Type

Setting

Price

SKIN DEBRIDEMENT WITH MCC

Facility

$99,173.55

Service Code	MSDRG 570
Min. Negotiated Rate	$30,776.78
Max. Negotiated Rate	$99,173.55
Rate for Payer: Aetna Commercial	$99,173.55
Rate for Payer: Aetna Medicare Advantage	$32,095.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80,495.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80,495.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$32,396.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80,495.64
Rate for Payer: Cigna Commercial	$63,295.41
Rate for Payer: Cigna Medicare Advantage	$32,396.61
Rate for Payer: Clover Medicare Advantage	$30,776.78
Rate for Payer: EmblemHealth Commercial	$97,189.83
Rate for Payer: Humana Medicare Advantage	$33,368.51
Rate for Payer: Oxford Commercial	$39,557.79
Rate for Payer: UnitedHealthcare Commercial	$44,901.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$32,396.61
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$34,340.41
Rate for Payer: Wellcare Medicare Advantage	$32,396.61

SKIN DEBRIDEMENT WITHOUT CC/MCC

Facility

$45,094.44

Service Code	MSDRG 572
Min. Negotiated Rate	$12,509.09
Max. Negotiated Rate	$45,094.44
Rate for Payer: Aetna Commercial	$38,653.09
Rate for Payer: Aetna Medicare Advantage	$12,509.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,426.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,426.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,031.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,426.38
Rate for Payer: Cigna Commercial	$24,669.52
Rate for Payer: Cigna Medicare Advantage	$15,031.48
Rate for Payer: Clover Medicare Advantage	$14,279.91
Rate for Payer: EmblemHealth Commercial	$45,094.44
Rate for Payer: Humana Medicare Advantage	$15,482.42
Rate for Payer: Oxford Commercial	$15,417.74
Rate for Payer: UnitedHealthcare Commercial	$17,500.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,031.48
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,933.37
Rate for Payer: Wellcare Medicare Advantage	$15,031.48

SKIN FULL GRAFT SCLP/ARM/LEG

Facility

$16,584.80

Service Code	HCPCS 15220
Hospital Charge Code	16000659
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$4,975.44
Rate for Payer: Aetna Commercial	$4,975.44
Rate for Payer: Aetna Medicare Advantage	$4,975.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,229.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,229.12
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	$4,229.12
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,156.02
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,487.72
Rate for Payer: UnitedHealthcare Commercial	$3,687.00

SKIN FULL GRAFT SCLP/ARM/LEG

Facility

$16,584.80

Service Code	HCPCS 15220
Hospital Charge Code	16000659
Hospital Revenue Code	360
Min. Negotiated Rate	$2,487.72
Max. Negotiated Rate	$2,487.72
Rate for Payer: Qualcare PPO/HMO/WC	$2,487.72

SKIN FULL GRFT TRUNK =< 20SQCM

Facility

$26,848.40

Service Code	HCPCS 15200
Hospital Charge Code	16000437
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$8,054.52
Rate for Payer: Aetna Commercial	$8,054.52
Rate for Payer: Aetna Medicare Advantage	$8,054.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,846.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,846.34
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	$6,846.34
Rate for Payer: Cigna Commercial	$4,913.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,490.29
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

SKIN FULL GRFT TRUNK =< 20SQCM

Facility

$26,848.40

Service Code	HCPCS 15200
Hospital Charge Code	16000437
Hospital Revenue Code	360
Min. Negotiated Rate	$4,027.26
Max. Negotiated Rate	$4,027.26
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26

SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC

Facility

$89,381.28

Service Code	MSDRG 577
Min. Negotiated Rate	$28,107.57
Max. Negotiated Rate	$89,381.28
Rate for Payer: Aetna Commercial	$89,381.28
Rate for Payer: Aetna Medicare Advantage	$28,925.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73,052.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73,052.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29,586.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73,052.55
Rate for Payer: Cigna Commercial	$57,045.71
Rate for Payer: Cigna Medicare Advantage	$29,586.92
Rate for Payer: Clover Medicare Advantage	$28,107.57
Rate for Payer: EmblemHealth Commercial	$88,760.76
Rate for Payer: Humana Medicare Advantage	$30,474.53
Rate for Payer: Oxford Commercial	$35,651.92
Rate for Payer: UnitedHealthcare Commercial	$40,468.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$29,586.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$31,362.14
Rate for Payer: Wellcare Medicare Advantage	$29,586.92

SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC

Facility

$165,267.88

Service Code	MSDRG 576
Min. Negotiated Rate	$48,793.01
Max. Negotiated Rate	$165,267.88
Rate for Payer: Aetna Commercial	$165,267.88
Rate for Payer: Aetna Medicare Advantage	$53,484.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156,580.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156,580.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$51,361.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156,580.56
Rate for Payer: Cigna Commercial	$105,478.73
Rate for Payer: Cigna Medicare Advantage	$51,361.06
Rate for Payer: Clover Medicare Advantage	$48,793.01
Rate for Payer: EmblemHealth Commercial	$154,083.18
Rate for Payer: Humana Medicare Advantage	$52,901.89
Rate for Payer: Oxford Commercial	$65,921.14
Rate for Payer: UnitedHealthcare Commercial	$74,826.62
Rate for Payer: UnitedHealthcare Medicare Advantage	$51,361.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$54,442.72
Rate for Payer: Wellcare Medicare Advantage	$51,361.06

SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC

Facility

$58,449.18

Service Code	MSDRG 578
Min. Negotiated Rate	$17,529.97
Max. Negotiated Rate	$58,449.18
Rate for Payer: Aetna Commercial	$54,167.61
Rate for Payer: Aetna Medicare Advantage	$17,529.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,382.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,382.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,483.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,382.87
Rate for Payer: Cigna Commercial	$34,571.33
Rate for Payer: Cigna Medicare Advantage	$19,483.06
Rate for Payer: Clover Medicare Advantage	$18,508.91
Rate for Payer: EmblemHealth Commercial	$58,449.18
Rate for Payer: Humana Medicare Advantage	$20,067.55
Rate for Payer: Oxford Commercial	$21,606.08
Rate for Payer: UnitedHealthcare Commercial	$24,524.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,483.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,652.04
Rate for Payer: Wellcare Medicare Advantage	$19,483.06

SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$15,855.49

Service Code	APR-DRG 3121
Min. Negotiated Rate	$15,016.92
Max. Negotiated Rate	$15,855.49
Rate for Payer: Aetna Better Health Medicaid	$15,544.60
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,855.49
Rate for Payer: Wellpoint Medicaid Managed Care	$15,016.92

SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$41,722.76

Service Code	APR-DRG 3123
Min. Negotiated Rate	$38,537.78
Max. Negotiated Rate	$41,722.76
Rate for Payer: Aetna Better Health Medicaid	$40,904.67
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$41,722.76
Rate for Payer: Wellpoint Medicaid Managed Care	$38,537.78

SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$25,042.93

Service Code	APR-DRG 3122
Min. Negotiated Rate	$21,371.78
Max. Negotiated Rate	$25,042.93
Rate for Payer: Aetna Better Health Medicaid	$24,551.89
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,042.93
Rate for Payer: Wellpoint Medicaid Managed Care	$21,371.78

SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$79,640.74

Service Code	APR-DRG 3124
Min. Negotiated Rate	$72,957.62
Max. Negotiated Rate	$79,640.74
Rate for Payer: Aetna Better Health Medicaid	$72,957.62
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$74,416.77
Rate for Payer: Wellpoint Medicaid Managed Care	$79,640.74

SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$73,439.34

Service Code	APR-DRG 3614
Min. Negotiated Rate	$54,581.72
Max. Negotiated Rate	$73,439.34
Rate for Payer: Aetna Better Health Medicaid	$71,999.35
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$73,439.34
Rate for Payer: Wellpoint Medicaid Managed Care	$54,581.72

SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$34,852.56

Service Code	APR-DRG 3613
Min. Negotiated Rate	$24,852.00
Max. Negotiated Rate	$34,852.56
Rate for Payer: Aetna Better Health Medicaid	$34,169.18
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$34,852.56
Rate for Payer: Wellpoint Medicaid Managed Care	$24,852.00

SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$18,648.74

Service Code	APR-DRG 3611
Min. Negotiated Rate	$12,894.95
Max. Negotiated Rate	$18,648.74
Rate for Payer: Aetna Better Health Medicaid	$18,283.08
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,648.74
Rate for Payer: Wellpoint Medicaid Managed Care	$12,894.95

SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$23,484.07

Service Code	APR-DRG 3612
Min. Negotiated Rate	$17,300.31
Max. Negotiated Rate	$23,484.07
Rate for Payer: Aetna Better Health Medicaid	$23,023.60
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,484.07
Rate for Payer: Wellpoint Medicaid Managed Care	$17,300.31

SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC

Facility

$117,055.19

Service Code	MSDRG 574
Min. Negotiated Rate	$35,651.02
Max. Negotiated Rate	$117,055.19
Rate for Payer: Aetna Commercial	$117,055.19
Rate for Payer: Aetna Medicare Advantage	$37,881.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94,003.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94,003.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37,527.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94,003.47
Rate for Payer: Cigna Commercial	$74,708.00
Rate for Payer: Cigna Medicare Advantage	$37,527.39
Rate for Payer: Clover Medicare Advantage	$35,651.02
Rate for Payer: EmblemHealth Commercial	$112,582.17
Rate for Payer: Humana Medicare Advantage	$38,653.21
Rate for Payer: Oxford Commercial	$46,690.33
Rate for Payer: UnitedHealthcare Commercial	$52,997.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$37,527.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$39,779.03
Rate for Payer: Wellcare Medicare Advantage	$37,527.39

SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC

Facility

$220,912.44

Service Code	MSDRG 573
Min. Negotiated Rate	$63,960.79
Max. Negotiated Rate	$220,912.44
Rate for Payer: Aetna Commercial	$220,912.44
Rate for Payer: Aetna Medicare Advantage	$71,492.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171,466.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171,466.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$67,327.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171,466.74
Rate for Payer: Cigna Commercial	$140,992.68
Rate for Payer: Cigna Medicare Advantage	$67,327.15
Rate for Payer: Clover Medicare Advantage	$63,960.79
Rate for Payer: EmblemHealth Commercial	$201,981.45
Rate for Payer: Humana Medicare Advantage	$69,346.96
Rate for Payer: Oxford Commercial	$88,116.33
Rate for Payer: UnitedHealthcare Commercial	$100,020.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$67,327.15
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$71,366.78
Rate for Payer: Wellcare Medicare Advantage	$67,327.15

SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC

Facility

$63,981.48

Service Code	MSDRG 575
Min. Negotiated Rate	$19,609.91
Max. Negotiated Rate	$63,981.48
Rate for Payer: Aetna Commercial	$60,594.62
Rate for Payer: Aetna Medicare Advantage	$19,609.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56,512.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56,512.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,327.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56,512.35
Rate for Payer: Cigna Commercial	$35,156.71
Rate for Payer: Cigna Medicare Advantage	$21,327.16
Rate for Payer: Clover Medicare Advantage	$20,260.80
Rate for Payer: EmblemHealth Commercial	$63,981.48
Rate for Payer: Humana Medicare Advantage	$21,966.97
Rate for Payer: Oxford Commercial	$21,971.92
Rate for Payer: UnitedHealthcare Commercial	$24,940.17
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,327.16
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,606.79
Rate for Payer: Wellcare Medicare Advantage	$21,327.16

SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC

Facility

$63,891.51

Service Code	MSDRG 623
Min. Negotiated Rate	$19,576.08
Max. Negotiated Rate	$63,891.51
Rate for Payer: Aetna Commercial	$60,490.09
Rate for Payer: Aetna Medicare Advantage	$19,576.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51,274.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51,274.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,297.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51,274.62
Rate for Payer: Cigna Commercial	$38,606.52
Rate for Payer: Cigna Medicare Advantage	$21,297.17
Rate for Payer: Clover Medicare Advantage	$20,232.31
Rate for Payer: EmblemHealth Commercial	$63,891.51
Rate for Payer: Humana Medicare Advantage	$21,936.09
Rate for Payer: Oxford Commercial	$24,127.96
Rate for Payer: UnitedHealthcare Commercial	$27,387.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,297.17
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,575.00
Rate for Payer: Wellcare Medicare Advantage	$21,297.17

SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC

Facility

$120,015.82

Service Code	MSDRG 622
Min. Negotiated Rate	$36,458.04
Max. Negotiated Rate	$120,015.82
Rate for Payer: Aetna Commercial	$120,015.82
Rate for Payer: Aetna Medicare Advantage	$38,840.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105,581.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105,581.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$38,376.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105,581.61
Rate for Payer: Cigna Commercial	$76,597.54
Rate for Payer: Cigna Medicare Advantage	$38,376.88
Rate for Payer: Clover Medicare Advantage	$36,458.04
Rate for Payer: EmblemHealth Commercial	$115,130.64
Rate for Payer: Humana Medicare Advantage	$39,528.19
Rate for Payer: Oxford Commercial	$47,871.24
Rate for Payer: UnitedHealthcare Commercial	$54,338.31
Rate for Payer: UnitedHealthcare Medicare Advantage	$38,376.88
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$40,679.49
Rate for Payer: Wellcare Medicare Advantage	$38,376.88

SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC

Facility

$48,159.54

Service Code	MSDRG 624
Min. Negotiated Rate	$13,661.46
Max. Negotiated Rate	$48,159.54
Rate for Payer: Aetna Commercial	$42,213.91
Rate for Payer: Aetna Medicare Advantage	$13,661.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,599.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,599.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,053.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,599.37
Rate for Payer: Cigna Commercial	$26,942.14
Rate for Payer: Cigna Medicare Advantage	$16,053.18
Rate for Payer: Clover Medicare Advantage	$15,250.52
Rate for Payer: EmblemHealth Commercial	$48,159.54
Rate for Payer: Humana Medicare Advantage	$16,534.78
Rate for Payer: Oxford Commercial	$16,838.06
Rate for Payer: UnitedHealthcare Commercial	$19,112.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,053.18
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17,016.37
Rate for Payer: Wellcare Medicare Advantage	$16,053.18

SKIN GRAFTS FOR INJURIES WITH CC/MCC

Facility

$123,856.50

Service Code	MSDRG 904
Min. Negotiated Rate	$37,504.95
Max. Negotiated Rate	$123,856.50
Rate for Payer: Aetna Commercial	$123,856.50
Rate for Payer: Aetna Medicare Advantage	$40,083.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89,868.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89,868.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$39,478.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89,868.42
Rate for Payer: Cigna Commercial	$79,048.79
Rate for Payer: Cigna Medicare Advantage	$39,478.89
Rate for Payer: Clover Medicare Advantage	$37,504.95
Rate for Payer: EmblemHealth Commercial	$118,436.67
Rate for Payer: Humana Medicare Advantage	$40,663.26
Rate for Payer: Oxford Commercial	$49,403.19
Rate for Payer: UnitedHealthcare Commercial	$56,077.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$39,478.89
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$41,847.62
Rate for Payer: Wellcare Medicare Advantage	$39,478.89

SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC

Facility

$54,879.00

Service Code	MSDRG 905
Min. Negotiated Rate	$16,187.73
Max. Negotiated Rate	$54,879.00
Rate for Payer: Aetna Commercial	$50,020.09
Rate for Payer: Aetna Medicare Advantage	$16,187.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43,555.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43,555.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,293.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43,555.86
Rate for Payer: Cigna Commercial	$30,813.77
Rate for Payer: Cigna Medicare Advantage	$18,293.00
Rate for Payer: Clover Medicare Advantage	$17,378.35
Rate for Payer: EmblemHealth Commercial	$54,879.00
Rate for Payer: Humana Medicare Advantage	$18,841.79
Rate for Payer: Oxford Commercial	$19,257.71
Rate for Payer: UnitedHealthcare Commercial	$21,859.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,293.00
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,390.58
Rate for Payer: Wellcare Medicare Advantage	$18,293.00

Know your out-of-pocket cost for care.

All Charges