Heights University Hospital

All Charges

Charge

Type

Setting

Price

CERVICAL PLATE 7MM MEDIUM

Facility

$9,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705434
Hospital Revenue Code	278
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$4,750.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,422.50
Rate for Payer: Cigna Commercial	$4,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,299.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

CERVICAL PLATE 7MM MEDIUM

Facility

$9,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705434
Hospital Revenue Code	278
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$2,299.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,299.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

CERVICAL POROUS TI SPACER 6X14

Facility

$7,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270706226
Hospital Revenue Code	278
Min. Negotiated Rate	$1,181.25
Max. Negotiated Rate	$1,905.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,905.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.25

CERVICAL POROUS TI SPACER 6X14

Facility

$7,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270706226
Hospital Revenue Code	278
Min. Negotiated Rate	$1,181.25
Max. Negotiated Rate	$3,937.50
Rate for Payer: Aetna Commercial	$2,362.50
Rate for Payer: Aetna Medicare Advantage	$2,362.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,008.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,008.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,008.12
Rate for Payer: Cigna Commercial	$3,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,905.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.25

CERVICAL SCREW, VARIABLE 4X12M

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270704644
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

CERVICAL SCREW, VARIABLE 4X12M

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270704644
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$187.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

CERVICAL SPINAL FUSION WITH CC

Facility

$99,342.14

Service Code	MSDRG 472
Min. Negotiated Rate	$30,822.73
Max. Negotiated Rate	$99,342.14
Rate for Payer: Aetna Commercial	$99,342.14
Rate for Payer: Aetna Medicare Advantage	$32,149.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81,598.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81,598.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$32,444.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81,598.32
Rate for Payer: Cigna Commercial	$63,403.02
Rate for Payer: Cigna Medicare Advantage	$32,444.98
Rate for Payer: Clover Medicare Advantage	$30,822.73
Rate for Payer: EmblemHealth Commercial	$97,334.94
Rate for Payer: Humana Medicare Advantage	$33,418.33
Rate for Payer: Oxford Commercial	$39,625.04
Rate for Payer: UnitedHealthcare Commercial	$44,978.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$32,444.98
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$34,391.68
Rate for Payer: Wellcare Medicare Advantage	$32,444.98

CERVICAL SPINAL FUSION WITH MCC

Facility

$162,823.19

Service Code	MSDRG 471
Min. Negotiated Rate	$48,126.62
Max. Negotiated Rate	$162,823.19
Rate for Payer: Aetna Commercial	$162,823.19
Rate for Payer: Aetna Medicare Advantage	$52,693.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135,629.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135,629.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$50,659.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135,629.64
Rate for Payer: Cigna Commercial	$103,918.45
Rate for Payer: Cigna Medicare Advantage	$50,659.60
Rate for Payer: Clover Medicare Advantage	$48,126.62
Rate for Payer: EmblemHealth Commercial	$151,978.80
Rate for Payer: Humana Medicare Advantage	$52,179.39
Rate for Payer: Oxford Commercial	$64,946.01
Rate for Payer: UnitedHealthcare Commercial	$73,719.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$50,659.60
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$53,699.18
Rate for Payer: Wellcare Medicare Advantage	$50,659.60

CERVICAL SPINAL FUSION WITHOUT CC/MCC

Facility

$82,682.76

Service Code	MSDRG 473
Min. Negotiated Rate	$26,182.87
Max. Negotiated Rate	$82,682.76
Rate for Payer: Aetna Commercial	$82,320.35
Rate for Payer: Aetna Medicare Advantage	$26,640.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67,814.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67,814.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,560.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67,814.82
Rate for Payer: Cigna Commercial	$52,539.22
Rate for Payer: Cigna Medicare Advantage	$27,560.92
Rate for Payer: Clover Medicare Advantage	$26,182.87
Rate for Payer: EmblemHealth Commercial	$82,682.76
Rate for Payer: Humana Medicare Advantage	$28,387.75
Rate for Payer: Oxford Commercial	$32,835.49
Rate for Payer: UnitedHealthcare Commercial	$37,271.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,560.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$29,214.58
Rate for Payer: Wellcare Medicare Advantage	$27,560.92

CERVICAL SPINE 2-3 VW

Facility

$5,100.00

Service Code	HCPCS 72040
Hospital Charge Code	94061055
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

CERVICAL SPINE 2-3 VW

Facility

$5,100.00

Service Code	HCPCS 72040
Hospital Charge Code	94061055
Hospital Revenue Code	320
Min. Negotiated Rate	$33.19
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Better Health Medicaid	$242.34
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$247.19

CERVICAL SPINE 4-5 VIEWS

Facility

$5,100.00

Service Code	HCPCS 72050
Hospital Charge Code	94061057
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

CERVICAL SPINE 4-5 VIEWS

Facility

$5,100.00

Service Code	HCPCS 72050
Hospital Charge Code	94061057
Hospital Revenue Code	320
Min. Negotiated Rate	$47.95
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Better Health Medicaid	$309.88
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$316.08

CERVICAL SPINE COMPLET

Facility

$5,100.00

Service Code	HCPCS 72052
Hospital Charge Code	94061059
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

CERVICAL SPINE COMPLET

Facility

$5,100.00

Service Code	HCPCS 72052
Hospital Charge Code	94061059
Hospital Revenue Code	320
Min. Negotiated Rate	$59.02
Max. Negotiated Rate	$1,530.00
Rate for Payer: Aetna Better Health Medicaid	$309.88
Rate for Payer: Aetna Commercial	$1,530.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$663.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,489.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$316.08

CERVICAL SPINE TRUSS SYSTEM

Facility

$20,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270702696
Hospital Revenue Code	278
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$10,000.00
Rate for Payer: Aetna Commercial	$6,000.00
Rate for Payer: Aetna Medicare Advantage	$6,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,100.00
Rate for Payer: Cigna Commercial	$10,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,840.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

CERVICAL SPINE TRUSS SYSTEM

Facility

$2,500.00

Hospital Charge Code	270702697
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$605.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

CERVICAL SPINE TRUSS SYSTEM

Facility

$2,825.00

Hospital Charge Code	270702567
Hospital Revenue Code	278
Min. Negotiated Rate	$423.75
Max. Negotiated Rate	$683.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$565.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$683.65
Rate for Payer: Qualcare PPO/HMO/WC	$423.75

CERVICAL SPINE TRUSS SYSTEM

Facility

$20,000.00

Hospital Charge Code	270703361
Hospital Revenue Code	278
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$4,840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,840.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

CERVICAL SPINE TRUSS SYSTEM

Facility

$20,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270702696
Hospital Revenue Code	278
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$4,840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,840.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

CERVICAL SPINE TRUSS SYSTEM

Facility

$2,825.00

Hospital Charge Code	270702567
Hospital Revenue Code	278
Min. Negotiated Rate	$423.75
Max. Negotiated Rate	$1,412.50
Rate for Payer: Aetna Commercial	$847.50
Rate for Payer: Aetna Medicare Advantage	$847.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$720.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$720.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$565.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$720.38
Rate for Payer: Cigna Commercial	$1,412.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$683.65
Rate for Payer: Qualcare PPO/HMO/WC	$423.75

CERVICAL SPINE TRUSS SYSTEM

Facility

$20,000.00

Hospital Charge Code	270702553
Hospital Revenue Code	278
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$10,000.00
Rate for Payer: Aetna Commercial	$6,000.00
Rate for Payer: Aetna Medicare Advantage	$6,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,100.00
Rate for Payer: Cigna Commercial	$10,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,840.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

CERVICAL SPINE TRUSS SYSTEM

Facility

$2,500.00

Hospital Charge Code	270702697
Hospital Revenue Code	278
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$750.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

CERVICAL SPINE TRUSS SYSTEM

Facility

$20,000.00

Hospital Charge Code	270703361
Hospital Revenue Code	278
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$10,000.00
Rate for Payer: Aetna Commercial	$6,000.00
Rate for Payer: Aetna Medicare Advantage	$6,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,100.00
Rate for Payer: Cigna Commercial	$10,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,840.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

CERVICAL SPINE TRUSS SYSTEM

Facility

$20,000.00

Hospital Charge Code	270702553
Hospital Revenue Code	278
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$4,840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,840.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

Know your out-of-pocket cost for care.

All Charges