Heights University Hospital

All Charges

Charge

Type

Setting

Price

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$23,686.31

Service Code	APR-DRG 1923
Min. Negotiated Rate	$16,035.35
Max. Negotiated Rate	$23,686.31
Rate for Payer: Aetna Better Health Medicaid	$23,221.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,686.31
Rate for Payer: Wellpoint Medicaid Managed Care	$16,035.35

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$41,086.60

Service Code	APR-DRG 1924
Min. Negotiated Rate	$30,476.69
Max. Negotiated Rate	$41,086.60
Rate for Payer: Aetna Better Health Medicaid	$40,280.98
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$41,086.60
Rate for Payer: Wellpoint Medicaid Managed Care	$30,476.69

CARDIAC CATH VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	74110078
Hospital Revenue Code	300
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.26
Rate for Payer: Aetna Medicare Advantage	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.22
Rate for Payer: Cigna Commercial	$9.34
Rate for Payer: Cigna Medicare Advantage	$4.67
Rate for Payer: Clover Medicare Advantage	$8.87
Rate for Payer: EmblemHealth Commercial	$28.02
Rate for Payer: Humana Medicare Advantage	$9.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.41
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.94
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.34
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.90
Rate for Payer: Wellcare Medicare Advantage	$9.34

CARDIAC CATH VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	5100777
Hospital Revenue Code	300
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$3.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.94

CARDIAC CATH VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	74110078
Hospital Revenue Code	300
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$3.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.94

CARDIAC CATH VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	5100777
Hospital Revenue Code	300
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$30.26
Rate for Payer: Aetna Medicare Advantage	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.22
Rate for Payer: Cigna Commercial	$9.34
Rate for Payer: Cigna Medicare Advantage	$4.67
Rate for Payer: Clover Medicare Advantage	$8.87
Rate for Payer: EmblemHealth Commercial	$28.02
Rate for Payer: Humana Medicare Advantage	$9.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.41
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.94
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.34
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$9.90
Rate for Payer: Wellcare Medicare Advantage	$9.34

CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC

Facility

$57,560.97

Service Code	MSDRG 306
Min. Negotiated Rate	$17,196.05
Max. Negotiated Rate	$57,560.97
Rate for Payer: Aetna Commercial	$53,135.79
Rate for Payer: Aetna Medicare Advantage	$17,196.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42,453.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42,453.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,186.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42,453.18
Rate for Payer: Cigna Commercial	$33,912.79
Rate for Payer: Cigna Medicare Advantage	$19,186.99
Rate for Payer: Clover Medicare Advantage	$18,227.64
Rate for Payer: EmblemHealth Commercial	$57,560.97
Rate for Payer: Humana Medicare Advantage	$19,762.60
Rate for Payer: Oxford Commercial	$21,194.51
Rate for Payer: UnitedHealthcare Commercial	$24,057.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,186.99
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,338.21
Rate for Payer: Wellcare Medicare Advantage	$19,186.99

CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC

Facility

$38,328.54

Service Code	MSDRG 307
Min. Negotiated Rate	$9,965.37
Max. Negotiated Rate	$38,328.54
Rate for Payer: Aetna Commercial	$30,792.99
Rate for Payer: Aetna Medicare Advantage	$9,965.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,912.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,912.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,776.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,912.98
Rate for Payer: Cigna Commercial	$19,652.98
Rate for Payer: Cigna Medicare Advantage	$12,776.18
Rate for Payer: Clover Medicare Advantage	$12,137.37
Rate for Payer: EmblemHealth Commercial	$38,328.54
Rate for Payer: Humana Medicare Advantage	$13,159.47
Rate for Payer: Oxford Commercial	$12,282.54
Rate for Payer: UnitedHealthcare Commercial	$13,941.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,776.18
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13,542.75
Rate for Payer: Wellcare Medicare Advantage	$12,776.18

CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC

Facility

$240,436.24

Service Code	MSDRG 275
Min. Negotiated Rate	$69,282.66
Max. Negotiated Rate	$240,436.24
Rate for Payer: Aetna Commercial	$240,436.24
Rate for Payer: Aetna Medicare Advantage	$77,811.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$72,929.12
Rate for Payer: Cigna Commercial	$153,453.34
Rate for Payer: Cigna Medicare Advantage	$72,929.12
Rate for Payer: Clover Medicare Advantage	$69,282.66
Rate for Payer: EmblemHealth Commercial	$218,787.36
Rate for Payer: Humana Medicare Advantage	$75,116.99
Rate for Payer: Oxford Commercial	$95,903.88
Rate for Payer: UnitedHealthcare Commercial	$108,859.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$72,929.12
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$77,304.87
Rate for Payer: Wellcare Medicare Advantage	$72,929.12

CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR

Facility

$202,541.84

Service Code	MSDRG 276
Min. Negotiated Rate	$58,953.28
Max. Negotiated Rate	$202,541.84
Rate for Payer: Aetna Commercial	$202,541.84
Rate for Payer: Aetna Medicare Advantage	$65,547.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$62,056.08
Rate for Payer: Cigna Commercial	$129,268.04
Rate for Payer: Cigna Medicare Advantage	$62,056.08
Rate for Payer: Clover Medicare Advantage	$58,953.28
Rate for Payer: EmblemHealth Commercial	$186,168.24
Rate for Payer: Humana Medicare Advantage	$63,917.76
Rate for Payer: Oxford Commercial	$80,788.77
Rate for Payer: UnitedHealthcare Commercial	$91,702.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$62,056.08
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$65,779.44
Rate for Payer: Wellcare Medicare Advantage	$62,056.08

CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC

Facility

$155,735.26

Service Code	MSDRG 277
Min. Negotiated Rate	$46,194.58
Max. Negotiated Rate	$155,735.26
Rate for Payer: Aetna Commercial	$155,735.26
Rate for Payer: Aetna Medicare Advantage	$50,399.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$48,625.87
Rate for Payer: Cigna Commercial	$99,394.74
Rate for Payer: Cigna Medicare Advantage	$48,625.87
Rate for Payer: Clover Medicare Advantage	$46,194.58
Rate for Payer: EmblemHealth Commercial	$145,877.61
Rate for Payer: Humana Medicare Advantage	$50,084.65
Rate for Payer: Oxford Commercial	$62,118.82
Rate for Payer: UnitedHealthcare Commercial	$70,510.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$48,625.87
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$51,543.42
Rate for Payer: Wellcare Medicare Advantage	$48,625.87

CARDIAC LITHOTRIPSY

Facility

$4,370.00

Service Code	HCPCS 92972
Hospital Charge Code	411093602
Hospital Revenue Code	481
Min. Negotiated Rate	$131.77
Max. Negotiated Rate	$4,350.00
Rate for Payer: Aetna Commercial	$1,311.00
Rate for Payer: Aetna Medicare Advantage	$1,311.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,114.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,114.35
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	$1,114.35
Rate for Payer: Cigna Commercial	$131.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$568.10
Rate for Payer: Qualcare PPO/HMO/WC	$655.50

CARDIAC LITHOTRIPSY

Facility

$4,370.00

Service Code	HCPCS 92972
Hospital Charge Code	411093602
Hospital Revenue Code	481
Min. Negotiated Rate	$655.50
Max. Negotiated Rate	$655.50
Rate for Payer: Qualcare PPO/HMO/WC	$655.50

CARDIAC MONITOR ICM

Facility

$25,000.00

Service Code	HCPCS C1764
Hospital Charge Code	270684837N
Hospital Revenue Code	278
Min. Negotiated Rate	$3,750.00
Max. Negotiated Rate	$12,500.00
Rate for Payer: Aetna Commercial	$7,500.00
Rate for Payer: Aetna Medicare Advantage	$7,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,375.00
Rate for Payer: Cigna Commercial	$12,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00

CARDIAC MONITOR ICM

Facility

$25,000.00

Service Code	HCPCS C1764
Hospital Charge Code	270684837
Hospital Revenue Code	278
Min. Negotiated Rate	$3,750.00
Max. Negotiated Rate	$12,500.00
Rate for Payer: Aetna Commercial	$7,500.00
Rate for Payer: Aetna Medicare Advantage	$7,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,375.00
Rate for Payer: Cigna Commercial	$12,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00

CARDIAC MONITOR ICM

Facility

$25,000.00

Service Code	HCPCS C1764
Hospital Charge Code	270684837N
Hospital Revenue Code	278
Min. Negotiated Rate	$3,750.00
Max. Negotiated Rate	$6,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00

CARDIAC MONITOR ICM

Facility

$25,000.00

Service Code	HCPCS C1764
Hospital Charge Code	270684837
Hospital Revenue Code	278
Min. Negotiated Rate	$3,750.00
Max. Negotiated Rate	$6,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00

CARDIAC MONITOR IMPLANTABLE

Facility

$21,850.00

Hospital Charge Code	270663950
Hospital Revenue Code	278
Min. Negotiated Rate	$3,277.50
Max. Negotiated Rate	$5,287.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,287.70
Rate for Payer: Qualcare PPO/HMO/WC	$3,277.50

CARDIAC MONITOR IMPLANTABLE

Facility

$21,850.00

Hospital Charge Code	270663950
Hospital Revenue Code	278
Min. Negotiated Rate	$3,277.50
Max. Negotiated Rate	$10,925.00
Rate for Payer: Aetna Commercial	$6,555.00
Rate for Payer: Aetna Medicare Advantage	$6,555.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,571.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,571.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,370.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,571.75
Rate for Payer: Cigna Commercial	$10,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,287.70
Rate for Payer: Qualcare PPO/HMO/WC	$3,277.50

CARDIAC OUTPUT****

Facility

$75.00

Service Code	HCPCS 93561
Hospital Charge Code	5100151
Hospital Revenue Code	481
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$4,350.00
Rate for Payer: Aetna Commercial	$22.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
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	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.75
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

CARDIAC OUTPUT****

Facility

$75.00

Service Code	HCPCS 93561
Hospital Charge Code	5100151
Hospital Revenue Code	481
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

CARDIAC OUTPUT ADDL

Facility

$116.85

Service Code	HCPCS 93562
Hospital Charge Code	5100094
Hospital Revenue Code	481
Min. Negotiated Rate	$17.53
Max. Negotiated Rate	$17.53
Rate for Payer: Qualcare PPO/HMO/WC	$17.53

CARDIAC OUTPUT ADDL

Facility

$116.85

Service Code	HCPCS 93562
Hospital Charge Code	74110013
Hospital Revenue Code	481
Min. Negotiated Rate	$15.19
Max. Negotiated Rate	$4,350.00
Rate for Payer: Aetna Commercial	$35.05
Rate for Payer: Aetna Medicare Advantage	$35.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.80
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	$29.80
Rate for Payer: Cigna Commercial	$58.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.19
Rate for Payer: Qualcare PPO/HMO/WC	$17.53

CARDIAC OUTPUT ADDL

Facility

$116.85

Service Code	HCPCS 93562
Hospital Charge Code	74110013
Hospital Revenue Code	481
Min. Negotiated Rate	$17.53
Max. Negotiated Rate	$17.53
Rate for Payer: Qualcare PPO/HMO/WC	$17.53

CARDIAC OUTPUT ADDL

Facility

$116.85

Service Code	HCPCS 93562
Hospital Charge Code	5100094
Hospital Revenue Code	481
Min. Negotiated Rate	$15.19
Max. Negotiated Rate	$4,350.00
Rate for Payer: Aetna Commercial	$35.05
Rate for Payer: Aetna Medicare Advantage	$35.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.80
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	$29.80
Rate for Payer: Cigna Commercial	$58.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.19
Rate for Payer: Qualcare PPO/HMO/WC	$17.53

Know your out-of-pocket cost for care.

All Charges