Heights University Hospital

All Charges

Charge

Type

Setting

Price

CARDENE IV 25MG

Facility

$147.00

Hospital Charge Code	60635173
Hospital Revenue Code	250
Min. Negotiated Rate	$19.11
Max. Negotiated Rate	$73.50
Rate for Payer: Aetna Commercial	$44.10
Rate for Payer: Aetna Medicare Advantage	$44.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.48
Rate for Payer: Cigna Commercial	$73.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.11
Rate for Payer: Oxford Commercial	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.05
Rate for Payer: UnitedHealthcare Commercial	$73.50

CARDENE IV 25MG AMP

Facility

$773.00

Hospital Charge Code	60635691
Hospital Revenue Code	250
Min. Negotiated Rate	$115.95
Max. Negotiated Rate	$115.95
Rate for Payer: Qualcare PPO/HMO/WC	$115.95

CARDENE IV 25MG AMP

Facility

$773.00

Hospital Charge Code	60635691
Hospital Revenue Code	250
Min. Negotiated Rate	$100.49
Max. Negotiated Rate	$386.50
Rate for Payer: Aetna Commercial	$231.90
Rate for Payer: Aetna Medicare Advantage	$231.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.12
Rate for Payer: Cigna Commercial	$386.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.49
Rate for Payer: Oxford Commercial	$386.50
Rate for Payer: Qualcare PPO/HMO/WC	$115.95
Rate for Payer: UnitedHealthcare Commercial	$386.50

CARDIAC ARREST AND SHOCK

Facility

$12,115.59

Service Code	APR-DRG 1963
Min. Negotiated Rate	$10,259.65
Max. Negotiated Rate	$12,115.59
Rate for Payer: Aetna Better Health Medicaid	$11,878.03
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,115.59
Rate for Payer: Wellpoint Medicaid Managed Care	$10,259.65

CARDIAC ARREST AND SHOCK

Facility

$5,481.33

Service Code	APR-DRG 1961
Min. Negotiated Rate	$5,097.09
Max. Negotiated Rate	$5,481.33
Rate for Payer: Aetna Better Health Medicaid	$5,373.85
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,481.33
Rate for Payer: Wellpoint Medicaid Managed Care	$5,097.09

CARDIAC ARREST AND SHOCK

Facility

$7,666.51

Service Code	APR-DRG 1962
Min. Negotiated Rate	$5,405.82
Max. Negotiated Rate	$7,666.51
Rate for Payer: Aetna Better Health Medicaid	$7,516.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,666.51
Rate for Payer: Wellpoint Medicaid Managed Care	$5,405.82

CARDIAC ARREST AND SHOCK

Facility

$26,186.77

Service Code	APR-DRG 1964
Min. Negotiated Rate	$21,821.61
Max. Negotiated Rate	$26,186.77
Rate for Payer: Aetna Better Health Medicaid	$21,821.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,258.04
Rate for Payer: Wellpoint Medicaid Managed Care	$26,186.77

CARDIAC ARREST, UNEXPLAINED WITH CC

Facility

$30,224.55

Service Code	MSDRG 297
Min. Negotiated Rate	$6,918.58
Max. Negotiated Rate	$30,224.55
Rate for Payer: Aetna Commercial	$21,378.41
Rate for Payer: Aetna Medicare Advantage	$6,918.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,123.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,123.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,074.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,123.91
Rate for Payer: Cigna Commercial	$13,418.34
Rate for Payer: Cigna Medicare Advantage	$10,074.85
Rate for Payer: Clover Medicare Advantage	$9,571.11
Rate for Payer: EmblemHealth Commercial	$30,224.55
Rate for Payer: Humana Medicare Advantage	$10,377.10
Rate for Payer: Oxford Commercial	$8,386.08
Rate for Payer: UnitedHealthcare Commercial	$9,518.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,074.85
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10,679.34
Rate for Payer: Wellcare Medicare Advantage	$10,074.85

CARDIAC ARREST, UNEXPLAINED WITH MCC

Facility

$57,157.53

Service Code	MSDRG 296
Min. Negotiated Rate	$17,044.36
Max. Negotiated Rate	$57,157.53
Rate for Payer: Aetna Commercial	$52,667.07
Rate for Payer: Aetna Medicare Advantage	$17,044.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44,107.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44,107.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,052.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44,107.20
Rate for Payer: Cigna Commercial	$33,613.65
Rate for Payer: Cigna Medicare Advantage	$19,052.51
Rate for Payer: Clover Medicare Advantage	$18,099.88
Rate for Payer: EmblemHealth Commercial	$57,157.53
Rate for Payer: Humana Medicare Advantage	$19,624.09
Rate for Payer: Oxford Commercial	$21,007.56
Rate for Payer: UnitedHealthcare Commercial	$23,845.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,052.51
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,195.66
Rate for Payer: Wellcare Medicare Advantage	$19,052.51

CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC

Facility

$25,031.82

Service Code	MSDRG 298
Min. Negotiated Rate	$4,966.32
Max. Negotiated Rate	$25,031.82
Rate for Payer: Aetna Commercial	$15,345.93
Rate for Payer: Aetna Medicare Advantage	$4,966.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,129.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,129.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,343.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,129.48
Rate for Payer: Cigna Commercial	$9,794.21
Rate for Payer: Cigna Medicare Advantage	$8,343.94
Rate for Payer: Clover Medicare Advantage	$7,926.74
Rate for Payer: EmblemHealth Commercial	$25,031.82
Rate for Payer: Humana Medicare Advantage	$8,594.26
Rate for Payer: Oxford Commercial	$6,121.10
Rate for Payer: UnitedHealthcare Commercial	$6,948.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,343.94
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$8,844.58
Rate for Payer: Wellcare Medicare Advantage	$8,343.94

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$7,853.31

Service Code	APR-DRG 2012
Min. Negotiated Rate	$5,386.22
Max. Negotiated Rate	$7,853.31
Rate for Payer: Aetna Better Health Medicaid	$7,699.32
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,853.31
Rate for Payer: Wellpoint Medicaid Managed Care	$5,386.22

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$21,784.80

Service Code	APR-DRG 2014
Min. Negotiated Rate	$17,164.67
Max. Negotiated Rate	$21,784.80
Rate for Payer: Aetna Better Health Medicaid	$21,357.65
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,784.80
Rate for Payer: Wellpoint Medicaid Managed Care	$17,164.67

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$11,954.13

Service Code	APR-DRG 2013
Min. Negotiated Rate	$8,272.64
Max. Negotiated Rate	$11,954.13
Rate for Payer: Aetna Better Health Medicaid	$11,719.74
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,954.13
Rate for Payer: Wellpoint Medicaid Managed Care	$8,272.64

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$6,078.18

Service Code	APR-DRG 2011
Min. Negotiated Rate	$4,158.10
Max. Negotiated Rate	$6,078.18
Rate for Payer: Aetna Better Health Medicaid	$5,959.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,078.18
Rate for Payer: Wellpoint Medicaid Managed Care	$4,158.10

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC

Facility

$33,176.46

Service Code	MSDRG 309
Min. Negotiated Rate	$8,028.39
Max. Negotiated Rate	$33,176.46
Rate for Payer: Aetna Commercial	$24,807.73
Rate for Payer: Aetna Medicare Advantage	$8,028.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,399.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,399.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,058.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,399.58
Rate for Payer: Cigna Commercial	$15,833.00
Rate for Payer: Cigna Medicare Advantage	$11,058.82
Rate for Payer: Clover Medicare Advantage	$10,505.88
Rate for Payer: EmblemHealth Commercial	$33,176.46
Rate for Payer: Humana Medicare Advantage	$11,390.58
Rate for Payer: Oxford Commercial	$9,895.17
Rate for Payer: UnitedHealthcare Commercial	$11,231.93
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,058.82
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,722.35
Rate for Payer: Wellcare Medicare Advantage	$11,058.82

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC

Facility

$46,769.22

Service Code	MSDRG 308
Min. Negotiated Rate	$13,138.75
Max. Negotiated Rate	$46,769.22
Rate for Payer: Aetna Commercial	$40,598.74
Rate for Payer: Aetna Medicare Advantage	$13,138.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33,080.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33,080.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,589.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,080.40
Rate for Payer: Cigna Commercial	$25,911.28
Rate for Payer: Cigna Medicare Advantage	$15,589.74
Rate for Payer: Clover Medicare Advantage	$14,810.25
Rate for Payer: EmblemHealth Commercial	$46,769.22
Rate for Payer: Humana Medicare Advantage	$16,057.43
Rate for Payer: Oxford Commercial	$16,193.80
Rate for Payer: UnitedHealthcare Commercial	$18,381.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,589.74
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$16,525.12
Rate for Payer: Wellcare Medicare Advantage	$15,589.74

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC

Facility

$28,253.70

Service Code	MSDRG 310
Min. Negotiated Rate	$6,177.61
Max. Negotiated Rate	$28,253.70
Rate for Payer: Aetna Commercial	$19,088.81
Rate for Payer: Aetna Medicare Advantage	$6,177.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,161.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,161.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9,417.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,161.85
Rate for Payer: Cigna Commercial	$12,183.04
Rate for Payer: Cigna Medicare Advantage	$9,417.90
Rate for Payer: Clover Medicare Advantage	$8,947.00
Rate for Payer: EmblemHealth Commercial	$28,253.70
Rate for Payer: Humana Medicare Advantage	$9,700.44
Rate for Payer: Oxford Commercial	$7,614.05
Rate for Payer: UnitedHealthcare Commercial	$8,642.65
Rate for Payer: UnitedHealthcare Medicare Advantage	$9,417.90
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9,982.97
Rate for Payer: Wellcare Medicare Advantage	$9,417.90

CARDIAC CATHETERIZATION****

Facility

$5,130.00

Service Code	HCPCS 99999
Hospital Charge Code	5100011
Hospital Revenue Code	481
Min. Negotiated Rate	$666.90
Max. Negotiated Rate	$4,350.00
Rate for Payer: Aetna Commercial	$1,539.00
Rate for Payer: Aetna Medicare Advantage	$1,539.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,308.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,308.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,308.15
Rate for Payer: Cigna Commercial	$2,565.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$666.90
Rate for Payer: Qualcare PPO/HMO/WC	$769.50

CARDIAC CATHETERIZATION****

Facility

$5,130.00

Service Code	HCPCS 99999
Hospital Charge Code	5100011
Hospital Revenue Code	481
Min. Negotiated Rate	$769.50
Max. Negotiated Rate	$769.50
Rate for Payer: Qualcare PPO/HMO/WC	$769.50

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$14,734.80

Service Code	APR-DRG 1912
Min. Negotiated Rate	$9,816.38
Max. Negotiated Rate	$14,734.80
Rate for Payer: Aetna Better Health Medicaid	$14,445.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,734.80
Rate for Payer: Wellpoint Medicaid Managed Care	$9,816.38

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$12,656.32

Service Code	APR-DRG 1911
Min. Negotiated Rate	$8,535.81
Max. Negotiated Rate	$12,656.32
Rate for Payer: Aetna Better Health Medicaid	$12,408.16
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,656.32
Rate for Payer: Wellpoint Medicaid Managed Care	$8,535.81

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$19,179.64

Service Code	APR-DRG 1913
Min. Negotiated Rate	$12,998.58
Max. Negotiated Rate	$19,179.64
Rate for Payer: Aetna Better Health Medicaid	$18,803.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,179.64
Rate for Payer: Wellpoint Medicaid Managed Care	$12,998.58

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$31,709.52

Service Code	APR-DRG 1914
Min. Negotiated Rate	$25,447.60
Max. Negotiated Rate	$31,709.52
Rate for Payer: Aetna Better Health Medicaid	$31,087.76
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,709.52
Rate for Payer: Wellpoint Medicaid Managed Care	$25,447.60

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$13,507.30

Service Code	APR-DRG 1921
Min. Negotiated Rate	$8,818.52
Max. Negotiated Rate	$13,507.30
Rate for Payer: Aetna Better Health Medicaid	$13,242.45
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,507.30
Rate for Payer: Wellpoint Medicaid Managed Care	$8,818.52

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$16,733.19

Service Code	APR-DRG 1922
Min. Negotiated Rate	$10,892.22
Max. Negotiated Rate	$16,733.19
Rate for Payer: Aetna Better Health Medicaid	$16,405.09
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,733.19
Rate for Payer: Wellpoint Medicaid Managed Care	$10,892.22

Know your out-of-pocket cost for care.

All Charges