Heights University Hospital

All Charges

Charge

Type

Setting

Price

TRACH DBLE CUFF 9 0 100784090

Facility

$215.20

Hospital Charge Code	270638058
Hospital Revenue Code	272
Min. Negotiated Rate	$32.28
Max. Negotiated Rate	$32.28
Rate for Payer: Qualcare PPO/HMO/WC	$32.28

TRACH DBLE CUFF 9 0 100784090

Facility

$215.20

Hospital Charge Code	270638058
Hospital Revenue Code	272
Min. Negotiated Rate	$27.98
Max. Negotiated Rate	$107.60
Rate for Payer: Aetna Commercial	$64.56
Rate for Payer: Aetna Medicare Advantage	$64.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.88
Rate for Payer: Cigna Commercial	$107.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.98
Rate for Payer: Oxford Commercial	$107.60
Rate for Payer: Qualcare PPO/HMO/WC	$32.28
Rate for Payer: UnitedHealthcare Commercial	$107.60

TRACHEOBRONCH THRU OLD INCISN

Facility

$7,383.40

Service Code	HCPCS 31615
Hospital Charge Code	1600000575
Hospital Revenue Code	360
Min. Negotiated Rate	$959.84
Max. Negotiated Rate	$2,215.02
Rate for Payer: Aetna Commercial	$2,215.02
Rate for Payer: Aetna Medicare Advantage	$2,215.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,882.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,882.77
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	$1,882.77
Rate for Payer: Cigna Commercial	$1,284.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$959.84
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,107.51
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

TRACHEOBRONCH THRU OLD INCISN

Facility

$7,383.40

Service Code	HCPCS 31615
Hospital Charge Code	1600000575
Hospital Revenue Code	360
Min. Negotiated Rate	$1,107.51
Max. Negotiated Rate	$1,107.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,107.51

TRACHEOSTOMMY

Facility

$22,083.40

Service Code	HCPCS 31600
Hospital Charge Code	160000244
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$7,895.42
Rate for Payer: Aetna Better Health Medicaid	$7,710.51
Rate for Payer: Aetna Commercial	$6,625.02
Rate for Payer: Aetna Medicare Advantage	$6,625.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,631.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,631.27
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	$5,631.27
Rate for Payer: Cigna Commercial	$7,895.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,870.84
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,312.51
Rate for Payer: UnitedHealthcare Commercial	$5,529.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,864.72
Rate for Payer: Wellpoint Medicaid Managed Care	$7,710.51

TRACHEOSTOMMY

Facility

$22,083.40

Service Code	HCPCS 31600
Hospital Charge Code	160000244
Hospital Revenue Code	360
Min. Negotiated Rate	$3,312.51
Max. Negotiated Rate	$3,312.51
Rate for Payer: Qualcare PPO/HMO/WC	$3,312.51

TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC

Facility

$142,163.02

Service Code	MSDRG 012
Min. Negotiated Rate	$42,495.00
Max. Negotiated Rate	$142,163.02
Rate for Payer: Aetna Commercial	$142,163.02
Rate for Payer: Aetna Medicare Advantage	$46,007.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110,268.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110,268.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$44,731.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110,268.00
Rate for Payer: Cigna Medicare Advantage	$44,731.58
Rate for Payer: Clover Medicare Advantage	$42,495.00
Rate for Payer: EmblemHealth Commercial	$134,194.74
Rate for Payer: Humana Medicare Advantage	$46,073.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$44,731.58
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$47,415.47
Rate for Payer: Wellcare Medicare Advantage	$44,731.58

TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC

Facility

$183,911.61

Service Code	MSDRG 011
Min. Negotiated Rate	$53,874.97
Max. Negotiated Rate	$183,911.61
Rate for Payer: Aetna Commercial	$183,911.61
Rate for Payer: Aetna Medicare Advantage	$59,518.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142,245.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142,245.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$56,710.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142,245.72
Rate for Payer: Cigna Medicare Advantage	$56,710.50
Rate for Payer: Clover Medicare Advantage	$53,874.97
Rate for Payer: EmblemHealth Commercial	$170,131.50
Rate for Payer: Humana Medicare Advantage	$58,411.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$56,710.50
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$60,113.13
Rate for Payer: Wellcare Medicare Advantage	$56,710.50

TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC

Facility

$97,173.95

Service Code	MSDRG 013
Min. Negotiated Rate	$30,231.73
Max. Negotiated Rate	$97,173.95
Rate for Payer: Aetna Commercial	$97,173.95
Rate for Payer: Aetna Medicare Advantage	$31,447.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74,155.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74,155.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$31,822.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74,155.23
Rate for Payer: Cigna Medicare Advantage	$31,822.87
Rate for Payer: Clover Medicare Advantage	$30,231.73
Rate for Payer: EmblemHealth Commercial	$95,468.61
Rate for Payer: Humana Medicare Advantage	$32,777.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$31,822.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$33,732.24
Rate for Payer: Wellcare Medicare Advantage	$31,822.87

TRACHEOSTOMY TUBE #10 FENEST

Facility

$605.00

Hospital Charge Code	270331346
Hospital Revenue Code	272
Min. Negotiated Rate	$78.65
Max. Negotiated Rate	$302.50
Rate for Payer: Aetna Commercial	$181.50
Rate for Payer: Aetna Medicare Advantage	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.28
Rate for Payer: Cigna Commercial	$302.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.65
Rate for Payer: Oxford Commercial	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$90.75
Rate for Payer: UnitedHealthcare Commercial	$302.50

TRACHEOSTOMY TUBE #10 FENEST

Facility

$605.00

Hospital Charge Code	270331346
Hospital Revenue Code	272
Min. Negotiated Rate	$90.75
Max. Negotiated Rate	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$90.75

TRACHEOSTOMY TUBE #3, PEDIATR

Facility

$451.00

Hospital Charge Code	270331142
Hospital Revenue Code	272
Min. Negotiated Rate	$67.65
Max. Negotiated Rate	$67.65
Rate for Payer: Qualcare PPO/HMO/WC	$67.65

TRACHEOSTOMY TUBE #3, PEDIATR

Facility

$451.00

Hospital Charge Code	270331142
Hospital Revenue Code	272
Min. Negotiated Rate	$58.63
Max. Negotiated Rate	$225.50
Rate for Payer: Aetna Commercial	$135.30
Rate for Payer: Aetna Medicare Advantage	$135.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$115.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$115.00
Rate for Payer: Cigna Commercial	$225.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.63
Rate for Payer: Oxford Commercial	$225.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.65
Rate for Payer: UnitedHealthcare Commercial	$225.50

TRACHEOSTOMY TUBE SZ.9

Facility

$330.00

Hospital Charge Code	270332362
Hospital Revenue Code	272
Min. Negotiated Rate	$42.90
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$99.00
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.90
Rate for Payer: Oxford Commercial	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$165.00

TRACHEOSTOMY TUBE SZ.9

Facility

$330.00

Hospital Charge Code	270332362
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES

Facility

$467,067.56

Service Code	MSDRG 004
Min. Negotiated Rate	$131,058.63
Max. Negotiated Rate	$467,067.56
Rate for Payer: Aetna Commercial	$467,067.56
Rate for Payer: Aetna Medicare Advantage	$151,154.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$405,234.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$405,234.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$137,956.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$405,234.90
Rate for Payer: Cigna Medicare Advantage	$137,956.45
Rate for Payer: Clover Medicare Advantage	$131,058.63
Rate for Payer: EmblemHealth Commercial	$413,869.35
Rate for Payer: Humana Medicare Advantage	$142,095.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$137,956.45
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$146,233.84
Rate for Payer: Wellcare Medicare Advantage	$137,956.45

TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$91,429.42

Service Code	APR-DRG 0042
Min. Negotiated Rate	$67,066.31
Max. Negotiated Rate	$91,429.42
Rate for Payer: Aetna Better Health Medicaid	$89,636.69
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$91,429.42
Rate for Payer: Wellpoint Medicaid Managed Care	$67,066.31

TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$212,474.47

Service Code	APR-DRG 0044
Min. Negotiated Rate	$139,974.56
Max. Negotiated Rate	$212,474.47
Rate for Payer: Aetna Better Health Medicaid	$208,308.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$212,474.47
Rate for Payer: Wellpoint Medicaid Managed Care	$139,974.56

TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$140,432.52

Service Code	APR-DRG 0043
Min. Negotiated Rate	$97,288.67
Max. Negotiated Rate	$140,432.52
Rate for Payer: Aetna Better Health Medicaid	$137,678.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$140,432.52
Rate for Payer: Wellpoint Medicaid Managed Care	$97,288.67

TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$66,175.83

Service Code	APR-DRG 0041
Min. Negotiated Rate	$49,294.54
Max. Negotiated Rate	$66,175.83
Rate for Payer: Aetna Better Health Medicaid	$64,878.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$66,175.83
Rate for Payer: Wellpoint Medicaid Managed Care	$49,294.54

TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$57,839.44

Service Code	APR-DRG 0051
Min. Negotiated Rate	$47,348.55
Max. Negotiated Rate	$57,839.44
Rate for Payer: Aetna Better Health Medicaid	$56,705.33
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$57,839.44
Rate for Payer: Wellpoint Medicaid Managed Care	$47,348.55

TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$145,887.12

Service Code	APR-DRG 0054
Min. Negotiated Rate	$94,039.61
Max. Negotiated Rate	$145,887.12
Rate for Payer: Aetna Better Health Medicaid	$143,026.59
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$145,887.12
Rate for Payer: Wellpoint Medicaid Managed Care	$94,039.61

TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$68,528.15

Service Code	APR-DRG 0052
Min. Negotiated Rate	$52,609.54
Max. Negotiated Rate	$68,528.15
Rate for Payer: Aetna Better Health Medicaid	$67,184.46
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$68,528.15
Rate for Payer: Wellpoint Medicaid Managed Care	$52,609.54

TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$103,306.31

Service Code	APR-DRG 0053
Min. Negotiated Rate	$64,384.91
Max. Negotiated Rate	$103,306.31
Rate for Payer: Aetna Better Health Medicaid	$101,280.70
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$103,306.31
Rate for Payer: Wellpoint Medicaid Managed Care	$64,384.91

TRACH INLINE SUCTION CATH

Facility

$42.63

Hospital Charge Code	270600663R
Hospital Revenue Code	272
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$6.39
Rate for Payer: Qualcare PPO/HMO/WC	$6.39

Know your out-of-pocket cost for care.

All Charges