Heights University Hospital

All Charges

Charge

Type

Setting

Price

CARDIAC OUTPUT BRIDGE

Facility

$61.00

Hospital Charge Code	270650555
Hospital Revenue Code	270
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$30.50
Rate for Payer: Aetna Commercial	$18.30
Rate for Payer: Aetna Medicare Advantage	$18.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.55
Rate for Payer: Cigna Commercial	$30.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.93
Rate for Payer: Oxford Commercial	$30.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.15
Rate for Payer: UnitedHealthcare Commercial	$30.50

CARDIAC OUTPUT BRIDGE

Facility

$61.00

Hospital Charge Code	270650555
Hospital Revenue Code	270
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$44,606.00

Service Code	APR-DRG 1774
Min. Negotiated Rate	$43,731.37
Max. Negotiated Rate	$44,606.00
Rate for Payer: Aetna Better Health Medicaid	$43,731.37
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$44,606.00
Rate for Payer: Wellpoint Medicaid Managed Care	$43,835.97

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$16,193.92

Service Code	APR-DRG 1771
Min. Negotiated Rate	$11,809.79
Max. Negotiated Rate	$16,193.92
Rate for Payer: Aetna Better Health Medicaid	$15,876.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,193.92
Rate for Payer: Wellpoint Medicaid Managed Care	$11,809.79

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$32,017.09

Service Code	APR-DRG 1773
Min. Negotiated Rate	$21,678.32
Max. Negotiated Rate	$32,017.09
Rate for Payer: Aetna Better Health Medicaid	$31,389.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$32,017.09
Rate for Payer: Wellpoint Medicaid Managed Care	$21,678.32

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$23,245.30

Service Code	APR-DRG 1772
Min. Negotiated Rate	$15,287.23
Max. Negotiated Rate	$23,245.30
Rate for Payer: Aetna Better Health Medicaid	$22,789.51
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,245.30
Rate for Payer: Wellpoint Medicaid Managed Care	$15,287.23

CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC

Facility

$105,951.25

Service Code	MSDRG 258
Min. Negotiated Rate	$32,624.26
Max. Negotiated Rate	$105,951.25
Rate for Payer: Aetna Commercial	$105,951.25
Rate for Payer: Aetna Medicare Advantage	$34,288.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74,706.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74,706.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34,341.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74,706.57
Rate for Payer: Cigna Commercial	$67,621.13
Rate for Payer: Cigna Medicare Advantage	$34,341.33
Rate for Payer: Clover Medicare Advantage	$32,624.26
Rate for Payer: EmblemHealth Commercial	$103,023.99
Rate for Payer: Humana Medicare Advantage	$35,371.57
Rate for Payer: Oxford Commercial	$42,261.25
Rate for Payer: UnitedHealthcare Commercial	$47,970.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$34,341.33
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$36,401.81
Rate for Payer: Wellcare Medicare Advantage	$34,341.33

CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC

Facility

$70,515.18

Service Code	MSDRG 259
Min. Negotiated Rate	$22,066.33
Max. Negotiated Rate	$70,515.18
Rate for Payer: Aetna Commercial	$68,184.96
Rate for Payer: Aetna Medicare Advantage	$22,066.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51,550.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51,550.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,505.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51,550.29
Rate for Payer: Cigna Commercial	$43,517.61
Rate for Payer: Cigna Medicare Advantage	$23,505.06
Rate for Payer: Clover Medicare Advantage	$22,329.81
Rate for Payer: EmblemHealth Commercial	$70,515.18
Rate for Payer: Humana Medicare Advantage	$24,210.21
Rate for Payer: Oxford Commercial	$27,197.24
Rate for Payer: UnitedHealthcare Commercial	$30,871.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,505.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$24,915.36
Rate for Payer: Wellcare Medicare Advantage	$23,505.06

CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC

Facility

$66,695.37

Service Code	MSDRG 261
Min. Negotiated Rate	$20,630.24
Max. Negotiated Rate	$66,695.37
Rate for Payer: Aetna Commercial	$63,747.44
Rate for Payer: Aetna Medicare Advantage	$20,630.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51,825.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51,825.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,231.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51,825.96
Rate for Payer: Cigna Commercial	$40,685.45
Rate for Payer: Cigna Medicare Advantage	$22,231.79
Rate for Payer: Clover Medicare Advantage	$21,120.20
Rate for Payer: EmblemHealth Commercial	$66,695.37
Rate for Payer: Humana Medicare Advantage	$22,898.74
Rate for Payer: Oxford Commercial	$25,427.22
Rate for Payer: UnitedHealthcare Commercial	$28,862.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,231.79
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23,565.70
Rate for Payer: Wellcare Medicare Advantage	$22,231.79

CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC

Facility

$109,684.03

Service Code	MSDRG 260
Min. Negotiated Rate	$33,641.76
Max. Negotiated Rate	$109,684.03
Rate for Payer: Aetna Commercial	$109,684.03
Rate for Payer: Aetna Medicare Advantage	$35,496.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91,522.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91,522.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35,412.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91,522.44
Rate for Payer: Cigna Commercial	$70,003.51
Rate for Payer: Cigna Medicare Advantage	$35,412.38
Rate for Payer: Clover Medicare Advantage	$33,641.76
Rate for Payer: EmblemHealth Commercial	$106,237.14
Rate for Payer: Humana Medicare Advantage	$36,474.75
Rate for Payer: Oxford Commercial	$43,750.16
Rate for Payer: UnitedHealthcare Commercial	$49,660.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$35,412.38
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$37,537.12
Rate for Payer: Wellcare Medicare Advantage	$35,412.38

CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC

Facility

$59,131.26

Service Code	MSDRG 262
Min. Negotiated Rate	$17,786.42
Max. Negotiated Rate	$59,131.26
Rate for Payer: Aetna Commercial	$54,960.04
Rate for Payer: Aetna Medicare Advantage	$17,786.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45,485.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45,485.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,710.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45,485.55
Rate for Payer: Cigna Commercial	$35,077.08
Rate for Payer: Cigna Medicare Advantage	$19,710.42
Rate for Payer: Clover Medicare Advantage	$18,724.90
Rate for Payer: EmblemHealth Commercial	$59,131.26
Rate for Payer: Humana Medicare Advantage	$20,301.73
Rate for Payer: Oxford Commercial	$21,922.15
Rate for Payer: UnitedHealthcare Commercial	$24,883.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,710.42
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,893.05
Rate for Payer: Wellcare Medicare Advantage	$19,710.42

CARDIAC RISK ASSESSMENT***

Facility

$68.20

Service Code	HCPCS 80061
Hospital Charge Code	3006475
Hospital Revenue Code	301
Min. Negotiated Rate	$6.70
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$43.38
Rate for Payer: Aetna Medicare Advantage	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.06
Rate for Payer: Cigna Commercial	$13.39
Rate for Payer: Cigna Medicare Advantage	$6.70
Rate for Payer: Clover Medicare Advantage	$12.72
Rate for Payer: EmblemHealth Commercial	$40.17
Rate for Payer: Humana Medicare Advantage	$13.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.87
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.23
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.19
Rate for Payer: Wellcare Medicare Advantage	$13.39

CARDIAC RISK ASSESSMENT***

Facility

$68.20

Service Code	HCPCS 80061
Hospital Charge Code	3006475
Hospital Revenue Code	301
Min. Negotiated Rate	$10.23
Max. Negotiated Rate	$10.23
Rate for Payer: Qualcare PPO/HMO/WC	$10.23

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$8,746.52

Service Code	APR-DRG 2002
Min. Negotiated Rate	$6,582.51
Max. Negotiated Rate	$8,746.52
Rate for Payer: Aetna Better Health Medicaid	$8,575.02
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,746.52
Rate for Payer: Wellpoint Medicaid Managed Care	$6,582.51

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$22,739.74

Service Code	APR-DRG 2004
Min. Negotiated Rate	$21,376.49
Max. Negotiated Rate	$22,739.74
Rate for Payer: Aetna Better Health Medicaid	$22,293.86
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,739.74
Rate for Payer: Wellpoint Medicaid Managed Care	$21,376.49

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$12,815.01

Service Code	APR-DRG 2003
Min. Negotiated Rate	$10,034.11
Max. Negotiated Rate	$12,815.01
Rate for Payer: Aetna Better Health Medicaid	$12,563.74
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,815.01
Rate for Payer: Wellpoint Medicaid Managed Care	$10,034.11

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$6,198.95

Service Code	APR-DRG 2001
Min. Negotiated Rate	$5,563.78
Max. Negotiated Rate	$6,198.95
Rate for Payer: Aetna Better Health Medicaid	$6,077.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,198.95
Rate for Payer: Wellpoint Medicaid Managed Care	$5,563.78

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC

Facility

$221,718.35

Service Code	MSDRG 217
Min. Negotiated Rate	$64,180.47
Max. Negotiated Rate	$221,718.35
Rate for Payer: Aetna Commercial	$221,718.35
Rate for Payer: Aetna Medicare Advantage	$71,753.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175,601.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175,601.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$67,558.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175,601.79
Rate for Payer: Cigna Commercial	$141,507.03
Rate for Payer: Cigna Medicare Advantage	$67,558.39
Rate for Payer: Clover Medicare Advantage	$64,180.47
Rate for Payer: EmblemHealth Commercial	$202,675.17
Rate for Payer: Humana Medicare Advantage	$69,585.14
Rate for Payer: Oxford Commercial	$88,437.79
Rate for Payer: UnitedHealthcare Commercial	$100,385.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$67,558.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$71,611.89
Rate for Payer: Wellcare Medicare Advantage	$67,558.39

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC

Facility

$329,874.87

Service Code	MSDRG 216
Min. Negotiated Rate	$93,662.15
Max. Negotiated Rate	$329,874.87
Rate for Payer: Aetna Commercial	$329,874.87
Rate for Payer: Aetna Medicare Advantage	$106,755.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267,675.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267,675.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$98,591.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267,675.57
Rate for Payer: Cigna Commercial	$210,535.64
Rate for Payer: Cigna Medicare Advantage	$98,591.74
Rate for Payer: Clover Medicare Advantage	$93,662.15
Rate for Payer: EmblemHealth Commercial	$295,775.22
Rate for Payer: Humana Medicare Advantage	$101,549.49
Rate for Payer: Oxford Commercial	$131,578.66
Rate for Payer: UnitedHealthcare Commercial	$149,354.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$98,591.74
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$104,507.24
Rate for Payer: Wellcare Medicare Advantage	$98,591.74

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC

Facility

$221,718.35

Service Code	MSDRG 218
Min. Negotiated Rate	$64,180.47
Max. Negotiated Rate	$221,718.35
Rate for Payer: Aetna Commercial	$221,718.35
Rate for Payer: Aetna Medicare Advantage	$71,753.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157,131.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157,131.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$67,558.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157,131.90
Rate for Payer: Cigna Commercial	$141,507.03
Rate for Payer: Cigna Medicare Advantage	$67,558.39
Rate for Payer: Clover Medicare Advantage	$64,180.47
Rate for Payer: EmblemHealth Commercial	$202,675.17
Rate for Payer: Humana Medicare Advantage	$69,585.14
Rate for Payer: Oxford Commercial	$88,437.79
Rate for Payer: UnitedHealthcare Commercial	$100,385.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$67,558.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$71,611.89
Rate for Payer: Wellcare Medicare Advantage	$67,558.39

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC

Facility

$179,821.38

Service Code	MSDRG 220
Min. Negotiated Rate	$52,760.06
Max. Negotiated Rate	$179,821.38
Rate for Payer: Aetna Commercial	$179,821.38
Rate for Payer: Aetna Medicare Advantage	$58,194.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144,451.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144,451.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$55,536.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144,451.08
Rate for Payer: Cigna Commercial	$114,767.19
Rate for Payer: Cigna Medicare Advantage	$55,536.90
Rate for Payer: Clover Medicare Advantage	$52,760.06
Rate for Payer: EmblemHealth Commercial	$166,610.70
Rate for Payer: Humana Medicare Advantage	$57,203.01
Rate for Payer: Oxford Commercial	$71,726.16
Rate for Payer: UnitedHealthcare Commercial	$81,415.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$55,536.90
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$58,869.11
Rate for Payer: Wellcare Medicare Advantage	$55,536.90

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC

Facility

$258,911.38

Service Code	MSDRG 219
Min. Negotiated Rate	$74,318.68
Max. Negotiated Rate	$258,911.38
Rate for Payer: Aetna Commercial	$258,911.38
Rate for Payer: Aetna Medicare Advantage	$83,790.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$212,541.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$212,541.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$78,230.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$212,541.57
Rate for Payer: Cigna Commercial	$165,244.69
Rate for Payer: Cigna Medicare Advantage	$78,230.19
Rate for Payer: Clover Medicare Advantage	$74,318.68
Rate for Payer: EmblemHealth Commercial	$234,690.57
Rate for Payer: Humana Medicare Advantage	$80,577.10
Rate for Payer: Oxford Commercial	$103,273.13
Rate for Payer: UnitedHealthcare Commercial	$117,224.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$78,230.19
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$82,924.00
Rate for Payer: Wellcare Medicare Advantage	$78,230.19

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC

Facility

$169,954.94

Service Code	MSDRG 221
Min. Negotiated Rate	$50,070.62
Max. Negotiated Rate	$169,954.94
Rate for Payer: Aetna Commercial	$169,954.94
Rate for Payer: Aetna Medicare Advantage	$55,001.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128,186.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128,186.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$52,705.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128,186.55
Rate for Payer: Cigna Commercial	$108,470.14
Rate for Payer: Cigna Medicare Advantage	$52,705.92
Rate for Payer: Clover Medicare Advantage	$50,070.62
Rate for Payer: EmblemHealth Commercial	$158,117.76
Rate for Payer: Humana Medicare Advantage	$54,287.10
Rate for Payer: Oxford Commercial	$67,790.69
Rate for Payer: UnitedHealthcare Commercial	$76,948.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$52,705.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$55,868.28
Rate for Payer: Wellcare Medicare Advantage	$52,705.92

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$130,774.60

Service Code	APR-DRG 1624
Min. Negotiated Rate	$97,015.94
Max. Negotiated Rate	$130,774.60
Rate for Payer: Aetna Better Health Medicaid	$128,210.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$130,774.60
Rate for Payer: Wellpoint Medicaid Managed Care	$97,015.94

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$69,203.71

Service Code	APR-DRG 1622
Min. Negotiated Rate	$46,607.39
Max. Negotiated Rate	$69,203.71
Rate for Payer: Aetna Better Health Medicaid	$67,846.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$69,203.71
Rate for Payer: Wellpoint Medicaid Managed Care	$46,607.39

Know your out-of-pocket cost for care.

All Charges