Heights University Hospital

All Charges

Charge

Type

Setting

Price

CEMENT RESTRICTOR SZ.5

Facility

$460.00

Hospital Charge Code	270331120
Hospital Revenue Code	278
Min. Negotiated Rate	$69.00
Max. Negotiated Rate	$230.00
Rate for Payer: Aetna Commercial	$138.00
Rate for Payer: Aetna Medicare Advantage	$138.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.30
Rate for Payer: Cigna Commercial	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.32
Rate for Payer: Qualcare PPO/HMO/WC	$69.00

CEMENT RESTRICTOR SZ.5

Facility

$460.00

Hospital Charge Code	270331120
Hospital Revenue Code	278
Min. Negotiated Rate	$69.00
Max. Negotiated Rate	$111.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.32
Rate for Payer: Qualcare PPO/HMO/WC	$69.00

CEMENT SKIN ******

Facility

$21.00

Hospital Charge Code	8002685
Hospital Revenue Code	279
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$10.50
Rate for Payer: Aetna Commercial	$6.30
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.73
Rate for Payer: Oxford Commercial	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$10.50

CEMENT SKIN ******

Facility

$21.00

Hospital Charge Code	8002685
Hospital Revenue Code	279
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

CEMENT SPACER MOULD 17mm 64mm

Facility

$13,485.00

Hospital Charge Code	270643860
Hospital Revenue Code	272
Min. Negotiated Rate	$2,022.75
Max. Negotiated Rate	$2,022.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,022.75

CEMENT SPACER MOULD 17mm 64mm

Facility

$13,485.00

Hospital Charge Code	270643860
Hospital Revenue Code	272
Min. Negotiated Rate	$1,753.05
Max. Negotiated Rate	$6,742.50
Rate for Payer: Aetna Commercial	$4,045.50
Rate for Payer: Aetna Medicare Advantage	$4,045.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,438.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,438.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,438.68
Rate for Payer: Cigna Commercial	$6,742.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,753.05
Rate for Payer: Oxford Commercial	$6,742.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,022.75
Rate for Payer: UnitedHealthcare Commercial	$6,742.50

CEMENT VACUUM 3 DOSE COMPACT

Facility

$650.00

Hospital Charge Code	270687013
Hospital Revenue Code	272
Min. Negotiated Rate	$84.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.50
Rate for Payer: Oxford Commercial	$325.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Commercial	$325.00

CEMENT VACUUM 3 DOSE COMPACT

Facility

$650.00

Hospital Charge Code	270687013
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

CEMENT VERTEPLEX

Facility

$4,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270692069
Hospital Revenue Code	278
Min. Negotiated Rate	$618.75
Max. Negotiated Rate	$2,062.50
Rate for Payer: Aetna Commercial	$1,237.50
Rate for Payer: Aetna Medicare Advantage	$1,237.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,051.88
Rate for Payer: Cigna Commercial	$2,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75

CEMENT VERTEPLEX

Facility

$4,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270692069
Hospital Revenue Code	278
Min. Negotiated Rate	$618.75
Max. Negotiated Rate	$998.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75

CEMENT W/GENTAMICIN HI VISCOS

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270676722
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

CEMENT W/GENTAMICIN HI VISCOS

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270676722
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

CEMENT W/MIXER COMBO KIT

Facility

$773.85

Service Code	HCPCS C1713
Hospital Charge Code	270633747
Hospital Revenue Code	278
Min. Negotiated Rate	$116.08
Max. Negotiated Rate	$187.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.27
Rate for Payer: Qualcare PPO/HMO/WC	$116.08

CEMENT W/MIXER COMBO KIT

Facility

$773.85

Service Code	HCPCS C1713
Hospital Charge Code	270633747
Hospital Revenue Code	278
Min. Negotiated Rate	$116.08
Max. Negotiated Rate	$386.93
Rate for Payer: Aetna Commercial	$232.16
Rate for Payer: Aetna Medicare Advantage	$232.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.33
Rate for Payer: Cigna Commercial	$386.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.27
Rate for Payer: Qualcare PPO/HMO/WC	$116.08

CEMENT ZIM BONE DOUGH 1102012*

Facility

$225.90

Hospital Charge Code	270600348
Hospital Revenue Code	279
Min. Negotiated Rate	$29.37
Max. Negotiated Rate	$112.95
Rate for Payer: Aetna Commercial	$67.77
Rate for Payer: Aetna Medicare Advantage	$67.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.60
Rate for Payer: Cigna Commercial	$112.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.37
Rate for Payer: Oxford Commercial	$112.95
Rate for Payer: Qualcare PPO/HMO/WC	$33.88
Rate for Payer: UnitedHealthcare Commercial	$112.95

CEMENT ZIM BONE DOUGH 1102012*

Facility

$225.90

Hospital Charge Code	270600348
Hospital Revenue Code	279
Min. Negotiated Rate	$33.88
Max. Negotiated Rate	$33.88
Rate for Payer: Qualcare PPO/HMO/WC	$33.88

CEMENT ZIM BONE DOUGH 1102-022

Facility

$548.00

Hospital Charge Code	270612869
Hospital Revenue Code	274
Min. Negotiated Rate	$82.20
Max. Negotiated Rate	$132.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.62
Rate for Payer: Qualcare PPO/HMO/WC	$82.20

CEMENT ZIM BONE DOUGH 1102-022

Facility

$548.00

Hospital Charge Code	270612869
Hospital Revenue Code	274
Min. Negotiated Rate	$82.20
Max. Negotiated Rate	$274.00
Rate for Payer: Aetna Commercial	$164.40
Rate for Payer: Aetna Medicare Advantage	$164.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$139.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$139.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$139.74
Rate for Payer: Cigna Commercial	$274.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.62
Rate for Payer: Qualcare PPO/HMO/WC	$82.20

CEMENT ZIM BONE DOUGH 1102-12

Facility

$578.45

Hospital Charge Code	270618497
Hospital Revenue Code	278
Min. Negotiated Rate	$86.77
Max. Negotiated Rate	$289.23
Rate for Payer: Aetna Commercial	$173.53
Rate for Payer: Aetna Medicare Advantage	$173.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.50
Rate for Payer: Cigna Commercial	$289.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.98
Rate for Payer: Qualcare PPO/HMO/WC	$86.77

CEMENT ZIM BONE DOUGH 1102-12

Facility

$578.45

Hospital Charge Code	270618497
Hospital Revenue Code	278
Min. Negotiated Rate	$86.77
Max. Negotiated Rate	$139.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.98
Rate for Payer: Qualcare PPO/HMO/WC	$86.77

CEMENT ZIM BONE LVC 1102-023

Facility

$449.00

Hospital Charge Code	270600349
Hospital Revenue Code	272
Min. Negotiated Rate	$67.35
Max. Negotiated Rate	$67.35
Rate for Payer: Qualcare PPO/HMO/WC	$67.35

CEMENT ZIM BONE LVC 1102-023

Facility

$449.00

Hospital Charge Code	270600349
Hospital Revenue Code	272
Min. Negotiated Rate	$58.37
Max. Negotiated Rate	$224.50
Rate for Payer: Aetna Commercial	$134.70
Rate for Payer: Aetna Medicare Advantage	$134.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.50
Rate for Payer: Cigna Commercial	$224.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.37
Rate for Payer: Oxford Commercial	$224.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.35
Rate for Payer: UnitedHealthcare Commercial	$224.50

CEMIPLIMAB-RWLC 50MG/ML

Facility

$64,384.66

Service Code	HCPCS J9119
Hospital Charge Code	606390550
Hospital Revenue Code	636
Min. Negotiated Rate	$9,657.70
Max. Negotiated Rate	$19,315.40
Rate for Payer: Aetna Commercial	$19,315.40
Rate for Payer: Aetna Medicare Advantage	$19,315.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,418.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,418.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,418.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,581.09
Rate for Payer: Qualcare PPO/HMO/WC	$9,657.70

CEMIPLIMAB-RWLC 50MG/ML

Facility

$64,384.66

Service Code	HCPCS J9119
Hospital Charge Code	606390550
Hospital Revenue Code	636
Min. Negotiated Rate	$9,657.70
Max. Negotiated Rate	$15,581.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,581.09
Rate for Payer: Qualcare PPO/HMO/WC	$9,657.70

CENTER BLADE

Facility

$465.50

Hospital Charge Code	270665055
Hospital Revenue Code	270
Min. Negotiated Rate	$69.83
Max. Negotiated Rate	$69.83
Rate for Payer: Qualcare PPO/HMO/WC	$69.83

Know your out-of-pocket cost for care.

All Charges