Heights University Hospital

All Charges

Charge

Type

Setting

Price

VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$5,544.52

Service Code	APR-DRG 5421
Min. Negotiated Rate	$3,705.09
Max. Negotiated Rate	$5,544.52
Rate for Payer: Aetna Better Health Medicaid	$5,435.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,544.52
Rate for Payer: Wellpoint Medicaid Managed Care	$3,705.09

VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$33,265.12

Service Code	APR-DRG 5424
Min. Negotiated Rate	$26,453.30
Max. Negotiated Rate	$33,265.12
Rate for Payer: Aetna Better Health Medicaid	$26,453.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,982.37
Rate for Payer: Wellpoint Medicaid Managed Care	$33,265.12

VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C

Facility

$42,926.19

Service Code	MSDRG 768
Min. Negotiated Rate	$3,246.00
Max. Negotiated Rate	$42,926.19
Rate for Payer: Aetna Commercial	$36,134.21
Rate for Payer: Aetna Medicare Advantage	$11,693.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33,631.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33,631.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,308.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,631.74
Rate for Payer: Cigna Commercial	$23,061.90
Rate for Payer: Cigna Medicare Advantage	$14,308.73
Rate for Payer: Clover Medicare Advantage	$13,593.29
Rate for Payer: EmblemHealth Commercial	$42,926.19
Rate for Payer: Humana Medicare Advantage	$14,737.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,246.00
Rate for Payer: Oxford Commercial	$15,138.00
Rate for Payer: UnitedHealthcare Commercial	$17,183.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,308.73
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,167.25
Rate for Payer: Wellcare Medicare Advantage	$14,308.73

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC

Facility

$33,707.64

Service Code	MSDRG 806
Min. Negotiated Rate	$8,228.09
Max. Negotiated Rate	$33,707.64
Rate for Payer: Aetna Commercial	$25,424.80
Rate for Payer: Aetna Medicare Advantage	$8,228.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,675.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,675.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,235.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,675.25
Rate for Payer: Cigna Commercial	$16,226.83
Rate for Payer: Cigna Medicare Advantage	$11,235.88
Rate for Payer: Clover Medicare Advantage	$10,674.09
Rate for Payer: EmblemHealth Commercial	$33,707.64
Rate for Payer: Humana Medicare Advantage	$11,572.96
Rate for Payer: Oxford Commercial	$15,138.00
Rate for Payer: UnitedHealthcare Commercial	$17,183.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,235.88
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,910.03
Rate for Payer: Wellcare Medicare Advantage	$11,235.88

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC

Facility

$43,146.81

Service Code	MSDRG 805
Min. Negotiated Rate	$11,776.86
Max. Negotiated Rate	$43,146.81
Rate for Payer: Aetna Commercial	$36,390.50
Rate for Payer: Aetna Medicare Advantage	$11,776.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,842.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,842.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,382.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,842.67
Rate for Payer: Cigna Commercial	$23,225.46
Rate for Payer: Cigna Medicare Advantage	$14,382.27
Rate for Payer: Clover Medicare Advantage	$13,663.16
Rate for Payer: EmblemHealth Commercial	$43,146.81
Rate for Payer: Humana Medicare Advantage	$14,813.74
Rate for Payer: Oxford Commercial	$15,138.00
Rate for Payer: UnitedHealthcare Commercial	$17,183.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,382.27
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,245.21
Rate for Payer: Wellcare Medicare Advantage	$14,382.27

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

Facility

$31,391.37

Service Code	MSDRG 807
Min. Negotiated Rate	$7,357.26
Max. Negotiated Rate	$31,391.37
Rate for Payer: Aetna Commercial	$22,733.93
Rate for Payer: Aetna Medicare Advantage	$7,357.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17,918.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17,918.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,463.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17,918.55
Rate for Payer: Cigna Commercial	$14,509.46
Rate for Payer: Cigna Medicare Advantage	$10,463.79
Rate for Payer: Clover Medicare Advantage	$9,940.60
Rate for Payer: EmblemHealth Commercial	$31,391.37
Rate for Payer: Humana Medicare Advantage	$10,777.70
Rate for Payer: Oxford Commercial	$15,138.00
Rate for Payer: UnitedHealthcare Commercial	$17,183.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,463.79
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,091.62
Rate for Payer: Wellcare Medicare Advantage	$10,463.79

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$28,498.71

Service Code	APR-DRG 5414
Min. Negotiated Rate	$16,494.58
Max. Negotiated Rate	$28,498.71
Rate for Payer: Aetna Better Health Medicaid	$16,494.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,824.47
Rate for Payer: Wellpoint Medicaid Managed Care	$28,498.71

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$8,416.46

Service Code	APR-DRG 5411
Min. Negotiated Rate	$4,997.39
Max. Negotiated Rate	$8,416.46
Rate for Payer: Aetna Better Health Medicaid	$8,251.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,416.46
Rate for Payer: Wellpoint Medicaid Managed Care	$4,997.39

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$11,091.79

Service Code	APR-DRG 5413
Min. Negotiated Rate	$8,096.11
Max. Negotiated Rate	$11,091.79
Rate for Payer: Aetna Better Health Medicaid	$10,874.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,091.79
Rate for Payer: Wellpoint Medicaid Managed Care	$8,096.11

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$8,822.30

Service Code	APR-DRG 5412
Min. Negotiated Rate	$5,437.82
Max. Negotiated Rate	$8,822.30
Rate for Payer: Aetna Better Health Medicaid	$8,649.31
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,822.30
Rate for Payer: Wellpoint Medicaid Managed Care	$5,437.82

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC

Facility

$40,859.58

Service Code	MSDRG 797
Min. Negotiated Rate	$10,916.95
Max. Negotiated Rate	$40,859.58
Rate for Payer: Aetna Commercial	$33,733.38
Rate for Payer: Aetna Medicare Advantage	$10,916.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,567.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,567.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,619.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,567.00
Rate for Payer: Cigna Commercial	$21,529.61
Rate for Payer: Cigna Medicare Advantage	$13,619.86
Rate for Payer: Clover Medicare Advantage	$12,938.87
Rate for Payer: EmblemHealth Commercial	$40,859.58
Rate for Payer: Humana Medicare Advantage	$14,028.46
Rate for Payer: Oxford Commercial	$15,138.00
Rate for Payer: UnitedHealthcare Commercial	$17,183.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,619.86
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,437.05
Rate for Payer: Wellcare Medicare Advantage	$13,619.86

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC

Facility

$45,695.25

Service Code	MSDRG 796
Min. Negotiated Rate	$12,734.98
Max. Negotiated Rate	$45,695.25
Rate for Payer: Aetna Commercial	$39,351.09
Rate for Payer: Aetna Medicare Advantage	$12,734.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39,145.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39,145.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,231.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39,145.14
Rate for Payer: Cigna Commercial	$25,115.01
Rate for Payer: Cigna Medicare Advantage	$15,231.75
Rate for Payer: Clover Medicare Advantage	$14,470.16
Rate for Payer: EmblemHealth Commercial	$45,695.25
Rate for Payer: Humana Medicare Advantage	$15,688.70
Rate for Payer: Oxford Commercial	$15,138.00
Rate for Payer: UnitedHealthcare Commercial	$17,183.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,231.75
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16,145.66
Rate for Payer: Wellcare Medicare Advantage	$15,231.75

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC

Facility

$39,602.76

Service Code	MSDRG 798
Min. Negotiated Rate	$10,444.43
Max. Negotiated Rate	$39,602.76
Rate for Payer: Aetna Commercial	$32,273.29
Rate for Payer: Aetna Medicare Advantage	$10,444.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,156.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,156.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,200.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,156.28
Rate for Payer: Cigna Commercial	$20,597.75
Rate for Payer: Cigna Medicare Advantage	$13,200.92
Rate for Payer: Clover Medicare Advantage	$12,540.87
Rate for Payer: EmblemHealth Commercial	$39,602.76
Rate for Payer: Humana Medicare Advantage	$13,596.95
Rate for Payer: Oxford Commercial	$15,138.00
Rate for Payer: UnitedHealthcare Commercial	$17,183.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,200.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13,992.98
Rate for Payer: Wellcare Medicare Advantage	$13,200.92

VAGINAL HYSTERECTOMY =<250 GM

Facility

$42,695.42

Service Code	HCPCS 58260
Hospital Charge Code	1600000861
Hospital Revenue Code	360
Min. Negotiated Rate	$6,404.31
Max. Negotiated Rate	$6,404.31
Rate for Payer: Qualcare PPO/HMO/WC	$6,404.31

VAGINAL HYSTERECTOMY =<250 GM

Facility

$42,695.42

Service Code	HCPCS 58260
Hospital Charge Code	1600000861
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$12,808.63
Rate for Payer: Aetna Commercial	$12,808.63
Rate for Payer: Aetna Medicare Advantage	$12,808.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,887.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,887.33
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	$10,887.33
Rate for Payer: Cigna Commercial	$11,912.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,550.40
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,404.31
Rate for Payer: UnitedHealthcare Commercial	$6,873.00

VAGINITIS/VAGINOSIS, DNA PROBE

Facility

$137.85

Service Code	HCPCS 87480
Hospital Charge Code	3038082
Hospital Revenue Code	300
Min. Negotiated Rate	$20.68
Max. Negotiated Rate	$20.68
Rate for Payer: Qualcare PPO/HMO/WC	$20.68

VAGINITIS/VAGINOSIS, DNA PROBE

Facility

$137.85

Service Code	HCPCS 87480
Hospital Charge Code	3038082
Hospital Revenue Code	300
Min. Negotiated Rate	$10.03
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$64.96
Rate for Payer: Aetna Medicare Advantage	$20.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.46
Rate for Payer: Cigna Commercial	$20.05
Rate for Payer: Cigna Medicare Advantage	$10.03
Rate for Payer: Clover Medicare Advantage	$19.05
Rate for Payer: EmblemHealth Commercial	$60.15
Rate for Payer: Humana Medicare Advantage	$20.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.92
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.68
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.05
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$21.25
Rate for Payer: Wellcare Medicare Advantage	$20.05

VALACYCLOVIR 500 MG TAB

Facility

$66.26

Service Code	NDC 173093308
Hospital Charge Code	60628874
Hospital Revenue Code	250
Min. Negotiated Rate	$8.61
Max. Negotiated Rate	$33.13
Rate for Payer: Aetna Commercial	$19.88
Rate for Payer: Aetna Medicare Advantage	$19.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.90
Rate for Payer: Cigna Commercial	$33.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.61
Rate for Payer: Oxford Commercial	$33.13
Rate for Payer: Qualcare PPO/HMO/WC	$9.94
Rate for Payer: UnitedHealthcare Commercial	$33.13

VALACYCLOVIR 500 MG TAB

Facility

$66.26

Service Code	NDC 173093308
Hospital Charge Code	60628874
Hospital Revenue Code	250
Min. Negotiated Rate	$9.94
Max. Negotiated Rate	$9.94
Rate for Payer: Qualcare PPO/HMO/WC	$9.94

VALACYCLOVIR (VALTREX) 1000MG

Facility

$82.95

Service Code	NDC 65862044930
Hospital Charge Code	60630148
Hospital Revenue Code	250
Min. Negotiated Rate	$12.44
Max. Negotiated Rate	$12.44
Rate for Payer: Qualcare PPO/HMO/WC	$12.44

VALACYCLOVIR (VALTREX) 1000MG

Facility

$82.95

Service Code	NDC 65862044930
Hospital Charge Code	60630148
Hospital Revenue Code	250
Min. Negotiated Rate	$10.78
Max. Negotiated Rate	$41.48
Rate for Payer: Aetna Commercial	$24.89
Rate for Payer: Aetna Medicare Advantage	$24.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.15
Rate for Payer: Cigna Commercial	$41.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.78
Rate for Payer: Oxford Commercial	$41.48
Rate for Payer: Qualcare PPO/HMO/WC	$12.44
Rate for Payer: UnitedHealthcare Commercial	$41.48

VALGANCICLOVIR 450 MG TAB

Facility

$517.78

Service Code	NDC 4003822
Hospital Charge Code	60629946
Hospital Revenue Code	250
Min. Negotiated Rate	$77.67
Max. Negotiated Rate	$77.67
Rate for Payer: Qualcare PPO/HMO/WC	$77.67

VALGANCICLOVIR 450 MG TAB

Facility

$517.78

Service Code	NDC 4003822
Hospital Charge Code	60629946
Hospital Revenue Code	250
Min. Negotiated Rate	$67.31
Max. Negotiated Rate	$258.89
Rate for Payer: Aetna Commercial	$155.33
Rate for Payer: Aetna Medicare Advantage	$155.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.03
Rate for Payer: Cigna Commercial	$258.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.31
Rate for Payer: Oxford Commercial	$258.89
Rate for Payer: Qualcare PPO/HMO/WC	$77.67
Rate for Payer: UnitedHealthcare Commercial	$258.89

VALIUM/10MG/TAB

Facility

$8.00

Hospital Charge Code	60634340
Hospital Revenue Code	250
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.20

VALIUM/10MG/TAB

Facility

$8.00

Hospital Charge Code	60634340
Hospital Revenue Code	250
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$4.00
Rate for Payer: Aetna Commercial	$2.40
Rate for Payer: Aetna Medicare Advantage	$2.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.04
Rate for Payer: Cigna Commercial	$4.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.04
Rate for Payer: Oxford Commercial	$4.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.20
Rate for Payer: UnitedHealthcare Commercial	$4.00

Know your out-of-pocket cost for care.

All Charges