Heights University Hospital

All Charges

Charge

Type

Setting

Price

CLAMP 2-BAR BLUE 75MM PIN

Facility

$6,700.00

Hospital Charge Code	270668708
Hospital Revenue Code	278
Min. Negotiated Rate	$1,005.00
Max. Negotiated Rate	$3,350.00
Rate for Payer: Aetna Commercial	$2,010.00
Rate for Payer: Aetna Medicare Advantage	$2,010.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,708.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,340.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,708.50
Rate for Payer: Cigna Commercial	$3,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,621.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00

CLAMP 2-BAR BLUE 75MM PIN

Facility

$6,700.00

Hospital Charge Code	270668708
Hospital Revenue Code	278
Min. Negotiated Rate	$1,005.00
Max. Negotiated Rate	$1,621.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,340.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,621.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,005.00

CLAMP 3-D BLUE BAR TO BAR

Facility

$2,830.75

Hospital Charge Code	270668706
Hospital Revenue Code	278
Min. Negotiated Rate	$424.61
Max. Negotiated Rate	$1,415.38
Rate for Payer: Aetna Commercial	$849.23
Rate for Payer: Aetna Medicare Advantage	$849.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$721.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$721.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$566.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$721.84
Rate for Payer: Cigna Commercial	$1,415.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$685.04
Rate for Payer: Qualcare PPO/HMO/WC	$424.61

CLAMP 3-D BLUE BAR TO BAR

Facility

$2,830.75

Hospital Charge Code	270668706
Hospital Revenue Code	278
Min. Negotiated Rate	$424.61
Max. Negotiated Rate	$685.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$566.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$685.04
Rate for Payer: Qualcare PPO/HMO/WC	$424.61

CLAMP 3-D BLUE BAR TO PIN

Facility

$2,830.75

Hospital Charge Code	270668707
Hospital Revenue Code	278
Min. Negotiated Rate	$424.61
Max. Negotiated Rate	$685.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$566.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$685.04
Rate for Payer: Qualcare PPO/HMO/WC	$424.61

CLAMP 3-D BLUE BAR TO PIN

Facility

$2,830.75

Hospital Charge Code	270668707
Hospital Revenue Code	278
Min. Negotiated Rate	$424.61
Max. Negotiated Rate	$1,415.38
Rate for Payer: Aetna Commercial	$849.23
Rate for Payer: Aetna Medicare Advantage	$849.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$721.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$721.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$566.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$721.84
Rate for Payer: Cigna Commercial	$1,415.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$685.04
Rate for Payer: Qualcare PPO/HMO/WC	$424.61

CLAMP 4.0 ADJUSTABLE

Facility

$3,562.75

Hospital Charge Code	270619757
Hospital Revenue Code	272
Min. Negotiated Rate	$534.41
Max. Negotiated Rate	$534.41
Rate for Payer: Qualcare PPO/HMO/WC	$534.41

CLAMP 4.0 ADJUSTABLE

Facility

$3,562.75

Hospital Charge Code	270619757
Hospital Revenue Code	272
Min. Negotiated Rate	$463.16
Max. Negotiated Rate	$1,781.38
Rate for Payer: Aetna Commercial	$1,068.83
Rate for Payer: Aetna Medicare Advantage	$1,068.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$908.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$908.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$908.50
Rate for Payer: Cigna Commercial	$1,781.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.16
Rate for Payer: Oxford Commercial	$1,781.38
Rate for Payer: Qualcare PPO/HMO/WC	$534.41
Rate for Payer: UnitedHealthcare Commercial	$1,781.38

CLAMP 4-HOLE 4940-2-020

Facility

$2,885.00

Hospital Charge Code	270647956
Hospital Revenue Code	272
Min. Negotiated Rate	$375.05
Max. Negotiated Rate	$1,442.50
Rate for Payer: Aetna Commercial	$865.50
Rate for Payer: Aetna Medicare Advantage	$865.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$735.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$735.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$735.67
Rate for Payer: Cigna Commercial	$1,442.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.05
Rate for Payer: Oxford Commercial	$1,442.50
Rate for Payer: Qualcare PPO/HMO/WC	$432.75
Rate for Payer: UnitedHealthcare Commercial	$1,442.50

CLAMP 4-HOLE 4940-2-020

Facility

$2,885.00

Hospital Charge Code	270647956
Hospital Revenue Code	272
Min. Negotiated Rate	$432.75
Max. Negotiated Rate	$432.75
Rate for Payer: Qualcare PPO/HMO/WC	$432.75

CLAMP 500S CIRCUMCISION EXTRA

Facility

$939.50

Hospital Charge Code	270663795
Hospital Revenue Code	270
Min. Negotiated Rate	$140.93
Max. Negotiated Rate	$140.93
Rate for Payer: Qualcare PPO/HMO/WC	$140.93

CLAMP 500S CIRCUMCISION EXTRA

Facility

$939.50

Hospital Charge Code	270663795
Hospital Revenue Code	270
Min. Negotiated Rate	$122.14
Max. Negotiated Rate	$469.75
Rate for Payer: Aetna Commercial	$281.85
Rate for Payer: Aetna Medicare Advantage	$281.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.57
Rate for Payer: Cigna Commercial	$469.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.14
Rate for Payer: Oxford Commercial	$469.75
Rate for Payer: Qualcare PPO/HMO/WC	$140.93
Rate for Payer: UnitedHealthcare Commercial	$469.75

CLAMP 5 HOLE

Facility

$3,045.00

Hospital Charge Code	270665210
Hospital Revenue Code	278
Min. Negotiated Rate	$456.75
Max. Negotiated Rate	$736.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$609.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$736.89
Rate for Payer: Qualcare PPO/HMO/WC	$456.75

CLAMP 5 HOLE

Facility

$3,045.00

Hospital Charge Code	270665210
Hospital Revenue Code	278
Min. Negotiated Rate	$456.75
Max. Negotiated Rate	$1,522.50
Rate for Payer: Aetna Commercial	$913.50
Rate for Payer: Aetna Medicare Advantage	$913.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$776.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$776.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$609.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$776.48
Rate for Payer: Cigna Commercial	$1,522.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$736.89
Rate for Payer: Qualcare PPO/HMO/WC	$456.75

CLAMP 5-HOLE 4922-2-020

Facility

$4,470.00

Hospital Charge Code	270648623
Hospital Revenue Code	272
Min. Negotiated Rate	$670.50
Max. Negotiated Rate	$670.50
Rate for Payer: Qualcare PPO/HMO/WC	$670.50

CLAMP 5-HOLE 4922-2-020

Facility

$4,470.00

Hospital Charge Code	270648623
Hospital Revenue Code	272
Min. Negotiated Rate	$581.10
Max. Negotiated Rate	$2,235.00
Rate for Payer: Aetna Commercial	$1,341.00
Rate for Payer: Aetna Medicare Advantage	$1,341.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,139.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,139.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,139.85
Rate for Payer: Cigna Commercial	$2,235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$581.10
Rate for Payer: Oxford Commercial	$2,235.00
Rate for Payer: Qualcare PPO/HMO/WC	$670.50
Rate for Payer: UnitedHealthcare Commercial	$2,235.00

CLAMP 5 HOLE HEX SHAFT SQUARE

Facility

$755.00

Hospital Charge Code	270675277
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$377.50
Rate for Payer: Aetna Commercial	$226.50
Rate for Payer: Aetna Medicare Advantage	$226.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.53
Rate for Payer: Cigna Commercial	$377.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

CLAMP 5 HOLE HEX SHAFT SQUARE

Facility

$755.00

Hospital Charge Code	270675277
Hospital Revenue Code	278
Min. Negotiated Rate	$113.25
Max. Negotiated Rate	$182.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.71
Rate for Payer: Qualcare PPO/HMO/WC	$113.25

CLAMP ADJUSTABLE LG 39364

Facility

$1,825.00

Hospital Charge Code	270634837
Hospital Revenue Code	272
Min. Negotiated Rate	$273.75
Max. Negotiated Rate	$273.75
Rate for Payer: Qualcare PPO/HMO/WC	$273.75

CLAMP ADJUSTABLE LG 39364

Facility

$1,825.00

Hospital Charge Code	270634837
Hospital Revenue Code	272
Min. Negotiated Rate	$237.25
Max. Negotiated Rate	$912.50
Rate for Payer: Aetna Commercial	$547.50
Rate for Payer: Aetna Medicare Advantage	$547.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.38
Rate for Payer: Cigna Commercial	$912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.25
Rate for Payer: Oxford Commercial	$912.50
Rate for Payer: Qualcare PPO/HMO/WC	$273.75
Rate for Payer: UnitedHealthcare Commercial	$912.50

CLAMP ADJUSTABLE WIRE/PIN

Facility

$3,686.35

Service Code	HCPCS C1713
Hospital Charge Code	270632995
Hospital Revenue Code	272
Min. Negotiated Rate	$552.95
Max. Negotiated Rate	$552.95
Rate for Payer: Qualcare PPO/HMO/WC	$552.95

CLAMP ADJUSTABLE WIRE/PIN

Facility

$3,686.35

Service Code	HCPCS C1713
Hospital Charge Code	270632995
Hospital Revenue Code	272
Min. Negotiated Rate	$479.23
Max. Negotiated Rate	$1,843.17
Rate for Payer: Aetna Commercial	$1,105.90
Rate for Payer: Aetna Medicare Advantage	$1,105.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$940.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$940.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$940.02
Rate for Payer: Cigna Commercial	$1,843.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$479.23
Rate for Payer: Oxford Commercial	$1,843.17
Rate for Payer: Qualcare PPO/HMO/WC	$552.95
Rate for Payer: UnitedHealthcare Commercial	$1,843.17

CLAMP ASC CRANIOFIX LG FF101T

Facility

$766.45

Hospital Charge Code	270613401
Hospital Revenue Code	272
Min. Negotiated Rate	$114.97
Max. Negotiated Rate	$114.97
Rate for Payer: Qualcare PPO/HMO/WC	$114.97

CLAMP ASC CRANIOFIX LG FF101T

Facility

$766.45

Hospital Charge Code	270613401
Hospital Revenue Code	272
Min. Negotiated Rate	$99.64
Max. Negotiated Rate	$383.23
Rate for Payer: Aetna Commercial	$229.94
Rate for Payer: Aetna Medicare Advantage	$229.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.44
Rate for Payer: Cigna Commercial	$383.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.64
Rate for Payer: Oxford Commercial	$383.23
Rate for Payer: Qualcare PPO/HMO/WC	$114.97
Rate for Payer: UnitedHealthcare Commercial	$383.23

CLAMP ASC CRANIOFIX SM FF100T

Facility

$614.45

Hospital Charge Code	270615304
Hospital Revenue Code	272
Min. Negotiated Rate	$79.88
Max. Negotiated Rate	$307.23
Rate for Payer: Aetna Commercial	$184.34
Rate for Payer: Aetna Medicare Advantage	$184.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.68
Rate for Payer: Cigna Commercial	$307.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.88
Rate for Payer: Oxford Commercial	$307.23
Rate for Payer: Qualcare PPO/HMO/WC	$92.17
Rate for Payer: UnitedHealthcare Commercial	$307.23

Know your out-of-pocket cost for care.

All Charges