Heights University Hospital

All Charges

Charge

Type

Setting

Price

CLAMP ASC CRANIOFIX SM FF100T

Facility

$614.45

Hospital Charge Code	270615304
Hospital Revenue Code	272
Min. Negotiated Rate	$92.17
Max. Negotiated Rate	$92.17
Rate for Payer: Qualcare PPO/HMO/WC	$92.17

CLAMP BAR PIN

Facility

$4,475.00

Hospital Charge Code	270662209
Hospital Revenue Code	278
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$1,082.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,082.95
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

CLAMP BAR PIN

Facility

$4,475.00

Hospital Charge Code	270662209
Hospital Revenue Code	278
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$2,237.50
Rate for Payer: Aetna Commercial	$1,342.50
Rate for Payer: Aetna Medicare Advantage	$1,342.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$895.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,141.12
Rate for Payer: Cigna Commercial	$2,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,082.95
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

CLAMP BETA CAP 5K4500

Facility

$39.25

Hospital Charge Code	270607859
Hospital Revenue Code	272
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$19.62
Rate for Payer: Aetna Commercial	$11.78
Rate for Payer: Aetna Medicare Advantage	$11.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.01
Rate for Payer: Cigna Commercial	$19.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.10
Rate for Payer: Oxford Commercial	$19.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.89
Rate for Payer: UnitedHealthcare Commercial	$19.62

CLAMP BETA CAP 5K4500

Facility

$39.25

Hospital Charge Code	270607859
Hospital Revenue Code	272
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$5.89
Rate for Payer: Qualcare PPO/HMO/WC	$5.89

CLAMP BONE W/RATCHET

Facility

$2,051.75

Hospital Charge Code	270614783
Hospital Revenue Code	272
Min. Negotiated Rate	$307.76
Max. Negotiated Rate	$307.76
Rate for Payer: Qualcare PPO/HMO/WC	$307.76

CLAMP BONE W/RATCHET

Facility

$2,051.75

Hospital Charge Code	270614783
Hospital Revenue Code	272
Min. Negotiated Rate	$266.73
Max. Negotiated Rate	$1,025.88
Rate for Payer: Aetna Commercial	$615.52
Rate for Payer: Aetna Medicare Advantage	$615.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$523.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$523.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$523.20
Rate for Payer: Cigna Commercial	$1,025.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.73
Rate for Payer: Oxford Commercial	$1,025.88
Rate for Payer: Qualcare PPO/HMO/WC	$307.76
Rate for Payer: UnitedHealthcare Commercial	$1,025.88

CLAMP BULLDOG

Facility

$5.65

Hospital Charge Code	270300624
Hospital Revenue Code	270
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$1.70
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.73
Rate for Payer: Oxford Commercial	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$2.83

CLAMP BULLDOG

Facility

$5.65

Hospital Charge Code	270300624
Hospital Revenue Code	270
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

CLAMP BULLDOG 1.5INL SLIGHTLY

Facility

$237.45

Hospital Charge Code	270626627
Hospital Revenue Code	272
Min. Negotiated Rate	$35.62
Max. Negotiated Rate	$35.62
Rate for Payer: Qualcare PPO/HMO/WC	$35.62

CLAMP BULLDOG 1.5INL SLIGHTLY

Facility

$237.45

Hospital Charge Code	270626627
Hospital Revenue Code	272
Min. Negotiated Rate	$30.87
Max. Negotiated Rate	$118.72
Rate for Payer: Aetna Commercial	$71.23
Rate for Payer: Aetna Medicare Advantage	$71.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.55
Rate for Payer: Cigna Commercial	$118.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.87
Rate for Payer: Oxford Commercial	$118.72
Rate for Payer: Qualcare PPO/HMO/WC	$35.62
Rate for Payer: UnitedHealthcare Commercial	$118.72

CLAMP BULLDOG DBL SOFT JAW

Facility

$88.00

Hospital Charge Code	270605202
Hospital Revenue Code	270
Min. Negotiated Rate	$11.44
Max. Negotiated Rate	$44.00
Rate for Payer: Aetna Commercial	$26.40
Rate for Payer: Aetna Medicare Advantage	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.44
Rate for Payer: Cigna Commercial	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.44
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.20
Rate for Payer: UnitedHealthcare Commercial	$44.00

CLAMP BULLDOG DBL SOFT JAW

Facility

$88.00

Hospital Charge Code	270605202
Hospital Revenue Code	270
Min. Negotiated Rate	$13.20
Max. Negotiated Rate	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$13.20

CLAMP CIRCUMCISION 500 NEWBORN

Facility

$939.50

Hospital Charge Code	270663796
Hospital Revenue Code	270
Min. Negotiated Rate	$140.93
Max. Negotiated Rate	$140.93
Rate for Payer: Qualcare PPO/HMO/WC	$140.93

CLAMP CIRCUMCISION 500 NEWBORN

Facility

$939.50

Hospital Charge Code	270663796
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 COMBINATION 8.0mm

Facility

$2,453.45

Service Code	HCPCS C1713
Hospital Charge Code	270644919
Hospital Revenue Code	272
Min. Negotiated Rate	$318.95
Max. Negotiated Rate	$1,226.72
Rate for Payer: Aetna Commercial	$736.03
Rate for Payer: Aetna Medicare Advantage	$736.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$625.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$625.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$625.63
Rate for Payer: Cigna Commercial	$1,226.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.95
Rate for Payer: Oxford Commercial	$1,226.72
Rate for Payer: Qualcare PPO/HMO/WC	$368.02
Rate for Payer: UnitedHealthcare Commercial	$1,226.72

CLAMP COMBINATION 8.0mm

Facility

$2,453.45

Service Code	HCPCS C1713
Hospital Charge Code	270644919
Hospital Revenue Code	272
Min. Negotiated Rate	$368.02
Max. Negotiated Rate	$368.02
Rate for Payer: Qualcare PPO/HMO/WC	$368.02

CLAMP COMBINATION 8.0 MM/11.00

Facility

$3,229.05

Hospital Charge Code	270688025
Hospital Revenue Code	272
Min. Negotiated Rate	$484.36
Max. Negotiated Rate	$484.36
Rate for Payer: Qualcare PPO/HMO/WC	$484.36

CLAMP COMBINATION 8.0 MM/11.00

Facility

$3,229.05

Hospital Charge Code	270688025
Hospital Revenue Code	272
Min. Negotiated Rate	$419.78
Max. Negotiated Rate	$1,614.53
Rate for Payer: Aetna Commercial	$968.72
Rate for Payer: Aetna Medicare Advantage	$968.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$823.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$823.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$823.41
Rate for Payer: Cigna Commercial	$1,614.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$419.78
Rate for Payer: Oxford Commercial	$1,614.53
Rate for Payer: Qualcare PPO/HMO/WC	$484.36
Rate for Payer: UnitedHealthcare Commercial	$1,614.53

CLAMP CRANIAL FLAP TEXT 18MM

Facility

$2,415.00

Service Code	HCPCS C1713
Hospital Charge Code	270671883
Hospital Revenue Code	278
Min. Negotiated Rate	$362.25
Max. Negotiated Rate	$1,207.50
Rate for Payer: Aetna Commercial	$724.50
Rate for Payer: Aetna Medicare Advantage	$724.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$615.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$615.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$483.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$615.83
Rate for Payer: Cigna Commercial	$1,207.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$584.43
Rate for Payer: Qualcare PPO/HMO/WC	$362.25

CLAMP CRANIAL FLAP TEXT 18MM

Facility

$2,415.00

Service Code	HCPCS C1713
Hospital Charge Code	270671883
Hospital Revenue Code	278
Min. Negotiated Rate	$362.25
Max. Negotiated Rate	$584.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$483.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$584.43
Rate for Payer: Qualcare PPO/HMO/WC	$362.25

CLAMP CRANIVAL 13MM

Facility

$2,080.00

Hospital Charge Code	270668364
Hospital Revenue Code	278
Min. Negotiated Rate	$312.00
Max. Negotiated Rate	$1,040.00
Rate for Payer: Aetna Commercial	$624.00
Rate for Payer: Aetna Medicare Advantage	$624.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$530.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$530.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$416.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$530.40
Rate for Payer: Cigna Commercial	$1,040.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$503.36
Rate for Payer: Qualcare PPO/HMO/WC	$312.00

CLAMP CRANIVAL 13MM

Facility

$2,080.00

Hospital Charge Code	270668364
Hospital Revenue Code	278
Min. Negotiated Rate	$312.00
Max. Negotiated Rate	$503.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$416.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$503.36
Rate for Payer: Qualcare PPO/HMO/WC	$312.00

CLAMP CRANIVAL 18MM

Facility

$2,170.00

Hospital Charge Code	270668365
Hospital Revenue Code	278
Min. Negotiated Rate	$325.50
Max. Negotiated Rate	$525.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$434.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$525.14
Rate for Payer: Qualcare PPO/HMO/WC	$325.50

CLAMP CRANIVAL 18MM

Facility

$2,170.00

Hospital Charge Code	270668365
Hospital Revenue Code	278
Min. Negotiated Rate	$325.50
Max. Negotiated Rate	$1,085.00
Rate for Payer: Aetna Commercial	$651.00
Rate for Payer: Aetna Medicare Advantage	$651.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$553.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$553.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$434.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$553.35
Rate for Payer: Cigna Commercial	$1,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$525.14
Rate for Payer: Qualcare PPO/HMO/WC	$325.50

Know your out-of-pocket cost for care.

All Charges