Heights University Hospital

All Charges

Charge

Type

Setting

Price

UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$51,842.71

Service Code	APR-DRG 5194
Min. Negotiated Rate	$46,294.86
Max. Negotiated Rate	$51,842.71
Rate for Payer: Aetna Better Health Medicaid	$50,826.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$51,842.71
Rate for Payer: Wellpoint Medicaid Managed Care	$46,294.86

UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$12,594.52

Service Code	APR-DRG 5191
Min. Negotiated Rate	$8,609.80
Max. Negotiated Rate	$12,594.52
Rate for Payer: Aetna Better Health Medicaid	$12,347.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,594.52
Rate for Payer: Wellpoint Medicaid Managed Care	$8,609.80

UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$25,697.37

Service Code	APR-DRG 5193
Min. Negotiated Rate	$18,640.04
Max. Negotiated Rate	$25,697.37
Rate for Payer: Aetna Better Health Medicaid	$25,193.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,697.37
Rate for Payer: Wellpoint Medicaid Managed Care	$18,640.04

UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$16,101.25

Service Code	APR-DRG 5192
Min. Negotiated Rate	$10,326.14
Max. Negotiated Rate	$16,101.25
Rate for Payer: Aetna Better Health Medicaid	$15,785.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,101.25
Rate for Payer: Wellpoint Medicaid Managed Care	$10,326.14

UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$25,163.70

Service Code	APR-DRG 5133
Min. Negotiated Rate	$15,862.02
Max. Negotiated Rate	$25,163.70
Rate for Payer: Aetna Better Health Medicaid	$24,670.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,163.70
Rate for Payer: Wellpoint Medicaid Managed Care	$15,862.02

UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$16,016.95

Service Code	APR-DRG 5132
Min. Negotiated Rate	$9,669.37
Max. Negotiated Rate	$16,016.95
Rate for Payer: Aetna Better Health Medicaid	$15,702.89
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,016.95
Rate for Payer: Wellpoint Medicaid Managed Care	$9,669.37

UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$13,306.53

Service Code	APR-DRG 5131
Min. Negotiated Rate	$8,236.41
Max. Negotiated Rate	$13,306.53
Rate for Payer: Aetna Better Health Medicaid	$13,045.62
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,306.53
Rate for Payer: Wellpoint Medicaid Managed Care	$8,236.41

UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$43,436.09

Service Code	APR-DRG 5134
Min. Negotiated Rate	$38,351.93
Max. Negotiated Rate	$43,436.09
Rate for Payer: Aetna Better Health Medicaid	$42,584.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$43,436.09
Rate for Payer: Wellpoint Medicaid Managed Care	$38,351.93

UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC

Facility

$65,078.64

Service Code	MSDRG 742
Min. Negotiated Rate	$20,022.41
Max. Negotiated Rate	$65,078.64
Rate for Payer: Aetna Commercial	$61,869.25
Rate for Payer: Aetna Medicare Advantage	$20,022.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,069.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,069.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,692.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,069.26
Rate for Payer: Cigna Commercial	$39,486.73
Rate for Payer: Cigna Medicare Advantage	$21,692.88
Rate for Payer: Clover Medicare Advantage	$20,608.24
Rate for Payer: EmblemHealth Commercial	$65,078.64
Rate for Payer: Humana Medicare Advantage	$22,343.67
Rate for Payer: Oxford Commercial	$24,678.06
Rate for Payer: UnitedHealthcare Commercial	$28,011.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,692.88
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,994.45
Rate for Payer: Wellcare Medicare Advantage	$21,692.88

UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC

Facility

$47,834.46

Service Code	MSDRG 743
Min. Negotiated Rate	$13,539.24
Max. Negotiated Rate	$47,834.46
Rate for Payer: Aetna Commercial	$41,836.25
Rate for Payer: Aetna Medicare Advantage	$13,539.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,977.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,977.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,944.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,977.72
Rate for Payer: Cigna Commercial	$26,701.10
Rate for Payer: Cigna Medicare Advantage	$15,944.82
Rate for Payer: Clover Medicare Advantage	$15,147.58
Rate for Payer: EmblemHealth Commercial	$47,834.46
Rate for Payer: Humana Medicare Advantage	$16,423.16
Rate for Payer: Oxford Commercial	$16,687.42
Rate for Payer: UnitedHealthcare Commercial	$18,941.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,944.82
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16,901.51
Rate for Payer: Wellcare Medicare Advantage	$15,944.82

UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY

Facility

$20,084.07

Service Code	APR-DRG 5122
Min. Negotiated Rate	$12,677.82
Max. Negotiated Rate	$20,084.07
Rate for Payer: Aetna Better Health Medicaid	$19,690.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,084.07
Rate for Payer: Wellpoint Medicaid Managed Care	$12,677.82

UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY

Facility

$58,777.56

Service Code	APR-DRG 5124
Min. Negotiated Rate	$40,696.29
Max. Negotiated Rate	$58,777.56
Rate for Payer: Aetna Better Health Medicaid	$57,625.06
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$58,777.56
Rate for Payer: Wellpoint Medicaid Managed Care	$40,696.29

UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY

Facility

$17,342.71

Service Code	APR-DRG 5121
Min. Negotiated Rate	$10,773.82
Max. Negotiated Rate	$17,342.71
Rate for Payer: Aetna Better Health Medicaid	$17,002.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,342.71
Rate for Payer: Wellpoint Medicaid Managed Care	$10,773.82

UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY

Facility

$31,188.52

Service Code	APR-DRG 5123
Min. Negotiated Rate	$19,920.30
Max. Negotiated Rate	$31,188.52
Rate for Payer: Aetna Better Health Medicaid	$30,576.98
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,188.52
Rate for Payer: Wellpoint Medicaid Managed Care	$19,920.30

UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC

Facility

$64,347.21

Service Code	MSDRG 740
Min. Negotiated Rate	$19,747.41
Max. Negotiated Rate	$64,347.21
Rate for Payer: Aetna Commercial	$61,019.50
Rate for Payer: Aetna Medicare Advantage	$19,747.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,344.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,344.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,449.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,344.93
Rate for Payer: Cigna Commercial	$38,944.40
Rate for Payer: Cigna Medicare Advantage	$21,449.07
Rate for Payer: Clover Medicare Advantage	$20,376.62
Rate for Payer: EmblemHealth Commercial	$64,347.21
Rate for Payer: Humana Medicare Advantage	$22,092.54
Rate for Payer: Oxford Commercial	$24,339.12
Rate for Payer: UnitedHealthcare Commercial	$27,627.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,449.07
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,736.01
Rate for Payer: Wellcare Medicare Advantage	$21,449.07

UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC

Facility

$120,811.58

Service Code	MSDRG 739
Min. Negotiated Rate	$36,674.95
Max. Negotiated Rate	$120,811.58
Rate for Payer: Aetna Commercial	$120,811.58
Rate for Payer: Aetna Medicare Advantage	$39,097.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99,792.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99,792.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$38,605.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99,792.54
Rate for Payer: Cigna Commercial	$75,889.50
Rate for Payer: Cigna Medicare Advantage	$38,605.21
Rate for Payer: Clover Medicare Advantage	$36,674.95
Rate for Payer: EmblemHealth Commercial	$115,815.63
Rate for Payer: Humana Medicare Advantage	$39,763.37
Rate for Payer: Oxford Commercial	$47,428.74
Rate for Payer: UnitedHealthcare Commercial	$53,836.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$38,605.21
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$40,921.52
Rate for Payer: Wellcare Medicare Advantage	$38,605.21

UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC

Facility

$53,215.83

Service Code	MSDRG 741
Min. Negotiated Rate	$15,562.43
Max. Negotiated Rate	$53,215.83
Rate for Payer: Aetna Commercial	$48,087.91
Rate for Payer: Aetna Medicare Advantage	$15,562.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35,837.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35,837.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,738.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35,837.10
Rate for Payer: Cigna Commercial	$30,691.10
Rate for Payer: Cigna Medicare Advantage	$17,738.61
Rate for Payer: Clover Medicare Advantage	$16,851.68
Rate for Payer: EmblemHealth Commercial	$53,215.83
Rate for Payer: Humana Medicare Advantage	$18,270.77
Rate for Payer: Oxford Commercial	$19,181.04
Rate for Payer: UnitedHealthcare Commercial	$21,772.27
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,738.61
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$18,802.93
Rate for Payer: Wellcare Medicare Advantage	$17,738.61

UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY

Facility

$22,684.99

Service Code	APR-DRG 5112
Min. Negotiated Rate	$15,197.21
Max. Negotiated Rate	$22,684.99
Rate for Payer: Aetna Better Health Medicaid	$22,240.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,684.99
Rate for Payer: Wellpoint Medicaid Managed Care	$15,197.21

UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY

Facility

$63,503.33

Service Code	APR-DRG 5114
Min. Negotiated Rate	$48,702.50
Max. Negotiated Rate	$63,503.33
Rate for Payer: Aetna Better Health Medicaid	$62,258.17
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$63,503.33
Rate for Payer: Wellpoint Medicaid Managed Care	$48,702.50

UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY

Facility

$18,742.87

Service Code	APR-DRG 5111
Min. Negotiated Rate	$12,118.76
Max. Negotiated Rate	$18,742.87
Rate for Payer: Aetna Better Health Medicaid	$18,375.36
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,742.87
Rate for Payer: Wellpoint Medicaid Managed Care	$12,118.76

UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY

Facility

$32,323.26

Service Code	APR-DRG 5113
Min. Negotiated Rate	$22,813.99
Max. Negotiated Rate	$32,323.26
Rate for Payer: Aetna Better Health Medicaid	$31,689.47
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$32,323.26
Rate for Payer: Wellpoint Medicaid Managed Care	$22,813.99

UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC

Facility

$71,632.65

Service Code	MSDRG 737
Min. Negotiated Rate	$22,486.47
Max. Negotiated Rate	$71,632.65
Rate for Payer: Aetna Commercial	$69,483.19
Rate for Payer: Aetna Medicare Advantage	$22,486.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54,306.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54,306.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,877.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54,306.99
Rate for Payer: Cigna Commercial	$44,346.17
Rate for Payer: Cigna Medicare Advantage	$23,877.55
Rate for Payer: Clover Medicare Advantage	$22,683.67
Rate for Payer: EmblemHealth Commercial	$71,632.65
Rate for Payer: Humana Medicare Advantage	$24,593.88
Rate for Payer: Oxford Commercial	$27,715.07
Rate for Payer: UnitedHealthcare Commercial	$31,459.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,877.55
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$25,310.20
Rate for Payer: Wellcare Medicare Advantage	$23,877.55

UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC

Facility

$120,531.72

Service Code	MSDRG 736
Min. Negotiated Rate	$36,598.66
Max. Negotiated Rate	$120,531.72
Rate for Payer: Aetna Commercial	$120,531.72
Rate for Payer: Aetna Medicare Advantage	$39,007.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107,235.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107,235.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$38,524.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107,235.63
Rate for Payer: Cigna Commercial	$76,926.81
Rate for Payer: Cigna Medicare Advantage	$38,524.91
Rate for Payer: Clover Medicare Advantage	$36,598.66
Rate for Payer: EmblemHealth Commercial	$115,574.73
Rate for Payer: Humana Medicare Advantage	$39,680.66
Rate for Payer: Oxford Commercial	$48,077.03
Rate for Payer: UnitedHealthcare Commercial	$54,571.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$38,524.91
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$40,836.40
Rate for Payer: Wellcare Medicare Advantage	$38,524.91

UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC

Facility

$54,446.52

Service Code	MSDRG 738
Min. Negotiated Rate	$16,025.13
Max. Negotiated Rate	$54,446.52
Rate for Payer: Aetna Commercial	$49,517.65
Rate for Payer: Aetna Medicare Advantage	$16,025.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,491.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,491.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,148.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,491.12
Rate for Payer: Cigna Commercial	$31,603.59
Rate for Payer: Cigna Medicare Advantage	$18,148.84
Rate for Payer: Clover Medicare Advantage	$17,241.40
Rate for Payer: EmblemHealth Commercial	$54,446.52
Rate for Payer: Humana Medicare Advantage	$18,693.31
Rate for Payer: Oxford Commercial	$19,751.33
Rate for Payer: UnitedHealthcare Commercial	$22,419.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,148.84
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,237.77
Rate for Payer: Wellcare Medicare Advantage	$18,148.84

UTLTY CART W/3 TUB SHELVES BLU

Facility

$712.50

Hospital Charge Code	270662654
Hospital Revenue Code	270
Min. Negotiated Rate	$92.62
Max. Negotiated Rate	$356.25
Rate for Payer: Aetna Commercial	$213.75
Rate for Payer: Aetna Medicare Advantage	$213.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.69
Rate for Payer: Cigna Commercial	$356.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.62
Rate for Payer: Oxford Commercial	$356.25
Rate for Payer: Qualcare PPO/HMO/WC	$106.88
Rate for Payer: UnitedHealthcare Commercial	$356.25

Know your out-of-pocket cost for care.

All Charges