Heights University Hospital

All Charges

Charge

Type

Setting

Price

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$88,574.29

Service Code	APR-DRG 1623
Min. Negotiated Rate	$61,681.67
Max. Negotiated Rate	$88,574.29
Rate for Payer: Aetna Better Health Medicaid	$86,837.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$88,574.29
Rate for Payer: Wellpoint Medicaid Managed Care	$61,681.67

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$60,093.49

Service Code	APR-DRG 1621
Min. Negotiated Rate	$41,993.19
Max. Negotiated Rate	$60,093.49
Rate for Payer: Aetna Better Health Medicaid	$58,915.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$60,093.49
Rate for Payer: Wellpoint Medicaid Managed Care	$41,993.19

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$52,025.29

Service Code	APR-DRG 1631
Min. Negotiated Rate	$34,650.71
Max. Negotiated Rate	$52,025.29
Rate for Payer: Aetna Better Health Medicaid	$51,005.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$52,025.29
Rate for Payer: Wellpoint Medicaid Managed Care	$34,650.71

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$58,123.13

Service Code	APR-DRG 1632
Min. Negotiated Rate	$39,813.80
Max. Negotiated Rate	$58,123.13
Rate for Payer: Aetna Better Health Medicaid	$56,983.46
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$58,123.13
Rate for Payer: Wellpoint Medicaid Managed Care	$39,813.80

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$110,645.61

Service Code	APR-DRG 1634
Min. Negotiated Rate	$82,267.75
Max. Negotiated Rate	$110,645.61
Rate for Payer: Aetna Better Health Medicaid	$108,476.09
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$110,645.61
Rate for Payer: Wellpoint Medicaid Managed Care	$82,267.75

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$72,887.40

Service Code	APR-DRG 1633
Min. Negotiated Rate	$51,058.06
Max. Negotiated Rate	$72,887.40
Rate for Payer: Aetna Better Health Medicaid	$71,458.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$72,887.40
Rate for Payer: Wellpoint Medicaid Managed Care	$51,058.06

CARDINAL NDL 16 GAXCM 17 TIP

Facility

$98.00

Hospital Charge Code	270339132
Hospital Revenue Code	272
Min. Negotiated Rate	$14.70
Max. Negotiated Rate	$14.70
Rate for Payer: Qualcare PPO/HMO/WC	$14.70

CARDINAL NDL 16 GAXCM 17 TIP

Facility

$98.00

Hospital Charge Code	270339132
Hospital Revenue Code	272
Min. Negotiated Rate	$12.74
Max. Negotiated Rate	$49.00
Rate for Payer: Aetna Commercial	$29.40
Rate for Payer: Aetna Medicare Advantage	$29.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.99
Rate for Payer: Cigna Commercial	$49.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.74
Rate for Payer: Oxford Commercial	$49.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.70
Rate for Payer: UnitedHealthcare Commercial	$49.00

CARDIO CRP

Facility

$390.00

Service Code	HCPCS 86141
Hospital Charge Code	39900469
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CARDIO CRP

Facility

$390.00

Service Code	HCPCS 86141
Hospital Charge Code	39900469
Hospital Revenue Code	302
Min. Negotiated Rate	$6.47
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$41.96
Rate for Payer: Aetna Medicare Advantage	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.45
Rate for Payer: Cigna Commercial	$12.95
Rate for Payer: Cigna Medicare Advantage	$6.47
Rate for Payer: Clover Medicare Advantage	$12.30
Rate for Payer: EmblemHealth Commercial	$38.85
Rate for Payer: Humana Medicare Advantage	$13.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.95
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$13.73
Rate for Payer: Wellcare Medicare Advantage	$12.95

CARDIO IQ HEMOGLOBIN A1C

Facility

$390.00

Service Code	HCPCS 83036
Hospital Charge Code	401183036
Hospital Revenue Code	301
Min. Negotiated Rate	$4.86
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$31.46
Rate for Payer: Aetna Medicare Advantage	$9.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.58
Rate for Payer: Cigna Commercial	$9.71
Rate for Payer: Cigna Medicare Advantage	$4.86
Rate for Payer: Clover Medicare Advantage	$9.22
Rate for Payer: EmblemHealth Commercial	$29.13
Rate for Payer: Humana Medicare Advantage	$10.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.71
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$10.29
Rate for Payer: Wellcare Medicare Advantage	$9.71

CARDIO IQ HEMOGLOBIN A1C

Facility

$390.00

Service Code	HCPCS 83036
Hospital Charge Code	401183036
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CARDIOIQLIPOPROTSUBFRIONMOBSER

Facility

$52.00

Service Code	HCPCS 83704
Hospital Charge Code	401383704
Hospital Revenue Code	301
Min. Negotiated Rate	$6.76
Max. Negotiated Rate	$125.27
Rate for Payer: Aetna Commercial	$110.78
Rate for Payer: Aetna Medicare Advantage	$34.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.27
Rate for Payer: Cigna Commercial	$34.19
Rate for Payer: Cigna Medicare Advantage	$17.09
Rate for Payer: Clover Medicare Advantage	$32.48
Rate for Payer: EmblemHealth Commercial	$102.57
Rate for Payer: Humana Medicare Advantage	$35.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$34.19
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$36.24
Rate for Payer: Wellcare Medicare Advantage	$34.19

CARDIOIQLIPOPROTSUBFRIONMOBSER

Facility

$52.00

Service Code	HCPCS 83704
Hospital Charge Code	401383704
Hospital Revenue Code	301
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

CARDIO IQ NT PROBNP

Facility

$390.00

Service Code	HCPCS 83880
Hospital Charge Code	401083880
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CARDIO IQ NT PROBNP

Facility

$390.00

Service Code	HCPCS 83880
Hospital Charge Code	401083880
Hospital Revenue Code	301
Min. Negotiated Rate	$19.63
Max. Negotiated Rate	$143.85
Rate for Payer: Aetna Commercial	$127.20
Rate for Payer: Aetna Medicare Advantage	$39.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$39.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.85
Rate for Payer: Cigna Commercial	$39.26
Rate for Payer: Cigna Medicare Advantage	$19.63
Rate for Payer: Clover Medicare Advantage	$37.30
Rate for Payer: EmblemHealth Commercial	$117.78
Rate for Payer: Humana Medicare Advantage	$40.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$39.26
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$41.62
Rate for Payer: Wellcare Medicare Advantage	$39.26

CARDIOLIPIN AB,EA IG CLASS

Facility

$501.00

Service Code	HCPCS 86147
Hospital Charge Code	38476183
Hospital Revenue Code	302
Min. Negotiated Rate	$12.72
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$82.46
Rate for Payer: Aetna Medicare Advantage	$25.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.25
Rate for Payer: Cigna Commercial	$25.45
Rate for Payer: Cigna Medicare Advantage	$12.72
Rate for Payer: Clover Medicare Advantage	$24.18
Rate for Payer: EmblemHealth Commercial	$76.35
Rate for Payer: Humana Medicare Advantage	$26.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.13
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.15
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.45
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$26.98
Rate for Payer: Wellcare Medicare Advantage	$25.45

CARDIOLIPIN AB,EA IG CLASS

Facility

$501.00

Service Code	HCPCS 86147
Hospital Charge Code	38476183
Hospital Revenue Code	302
Min. Negotiated Rate	$75.15
Max. Negotiated Rate	$75.15
Rate for Payer: Qualcare PPO/HMO/WC	$75.15

CARDIOLIPIN AB (IGG,A,M) I

Facility

$390.00

Service Code	HCPCS 8614791
Hospital Charge Code	39990023A
Hospital Revenue Code	302
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00

CARDIOLIPIN AB (IGG,A,M) I

Facility

$390.00

Service Code	HCPCS 8614791
Hospital Charge Code	39990023A
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CARDIOLIPIN AB (IGG,A,M) II

Facility

$390.00

Service Code	HCPCS 8614791
Hospital Charge Code	39990023B
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CARDIOLIPIN AB (IGG,A,M) II

Facility

$390.00

Service Code	HCPCS 8614791
Hospital Charge Code	39990023B
Hospital Revenue Code	302
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00

CARDIOLIPIN AB (IGG,A,M) III

Facility

$390.00

Service Code	HCPCS 8614791
Hospital Charge Code	39990023C
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CARDIOLIPIN AB (IGG,A,M) III

Facility

$390.00

Service Code	HCPCS 8614791
Hospital Charge Code	39990023C
Hospital Revenue Code	302
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$117.00
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00

CARDIOLIPIN AB (IGM)

Facility

$390.00

Service Code	HCPCS 86147
Hospital Charge Code	39900359
Hospital Revenue Code	302
Min. Negotiated Rate	$12.72
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$82.46
Rate for Payer: Aetna Medicare Advantage	$25.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.25
Rate for Payer: Cigna Commercial	$25.45
Rate for Payer: Cigna Medicare Advantage	$12.72
Rate for Payer: Clover Medicare Advantage	$24.18
Rate for Payer: EmblemHealth Commercial	$76.35
Rate for Payer: Humana Medicare Advantage	$26.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.45
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$26.98
Rate for Payer: Wellcare Medicare Advantage	$25.45

Know your out-of-pocket cost for care.

All Charges