Heights University Hospital

All Charges

Charge

Type

Setting

Price

CLAMP EX-FIX LG 4-POSTN MULTI

Facility

$3,225.95

Hospital Charge Code	270635608
Hospital Revenue Code	272
Min. Negotiated Rate	$483.89
Max. Negotiated Rate	$483.89
Rate for Payer: Qualcare PPO/HMO/WC	$483.89

CLAMP EX-FIX LG 4-POSTN MULTI

Facility

$3,225.95

Hospital Charge Code	270635608
Hospital Revenue Code	272
Min. Negotiated Rate	$419.37
Max. Negotiated Rate	$1,612.97
Rate for Payer: Aetna Commercial	$967.78
Rate for Payer: Aetna Medicare Advantage	$967.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$822.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$822.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$822.62
Rate for Payer: Cigna Commercial	$1,612.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$419.37
Rate for Payer: Oxford Commercial	$1,612.97
Rate for Payer: Qualcare PPO/HMO/WC	$483.89
Rate for Payer: UnitedHealthcare Commercial	$1,612.97

CLAMP EX-FIX LG 6-POSITION

Facility

$2,208.80

Hospital Charge Code	270642896
Hospital Revenue Code	272
Min. Negotiated Rate	$331.32
Max. Negotiated Rate	$331.32
Rate for Payer: Qualcare PPO/HMO/WC	$331.32

CLAMP EX-FIX LG 6-POSITION

Facility

$2,208.80

Hospital Charge Code	270642896
Hospital Revenue Code	272
Min. Negotiated Rate	$287.14
Max. Negotiated Rate	$1,104.40
Rate for Payer: Aetna Commercial	$662.64
Rate for Payer: Aetna Medicare Advantage	$662.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$563.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$563.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$563.24
Rate for Payer: Cigna Commercial	$1,104.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$287.14
Rate for Payer: Oxford Commercial	$1,104.40
Rate for Payer: Qualcare PPO/HMO/WC	$331.32
Rate for Payer: UnitedHealthcare Commercial	$1,104.40

CLAMP EX-FIX LG 6-POSTN MULTI

Facility

$3,445.35

Hospital Charge Code	270633728
Hospital Revenue Code	272
Min. Negotiated Rate	$516.80
Max. Negotiated Rate	$516.80
Rate for Payer: Qualcare PPO/HMO/WC	$516.80

CLAMP EX-FIX LG 6-POSTN MULTI

Facility

$3,445.35

Hospital Charge Code	270633728
Hospital Revenue Code	272
Min. Negotiated Rate	$447.90
Max. Negotiated Rate	$1,722.67
Rate for Payer: Aetna Commercial	$1,033.61
Rate for Payer: Aetna Medicare Advantage	$1,033.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$878.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$878.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$878.56
Rate for Payer: Cigna Commercial	$1,722.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$447.90
Rate for Payer: Oxford Commercial	$1,722.67
Rate for Payer: Qualcare PPO/HMO/WC	$516.80
Rate for Payer: UnitedHealthcare Commercial	$1,722.67

CLAMP EX-FIX LG COMBINATION

Facility

$3,103.15

Hospital Charge Code	270632998
Hospital Revenue Code	272
Min. Negotiated Rate	$465.47
Max. Negotiated Rate	$465.47
Rate for Payer: Qualcare PPO/HMO/WC	$465.47

CLAMP EX-FIX LG COMBINATION

Facility

$3,103.15

Hospital Charge Code	270632998
Hospital Revenue Code	272
Min. Negotiated Rate	$403.41
Max. Negotiated Rate	$1,551.58
Rate for Payer: Aetna Commercial	$930.95
Rate for Payer: Aetna Medicare Advantage	$930.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$791.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$791.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$791.30
Rate for Payer: Cigna Commercial	$1,551.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$403.41
Rate for Payer: Oxford Commercial	$1,551.58
Rate for Payer: Qualcare PPO/HMO/WC	$465.47
Rate for Payer: UnitedHealthcare Commercial	$1,551.58

CLAMP EX-FIX LG OPEN ADJ

Facility

$2,496.70

Hospital Charge Code	270633451
Hospital Revenue Code	272
Min. Negotiated Rate	$324.57
Max. Negotiated Rate	$1,248.35
Rate for Payer: Aetna Commercial	$749.01
Rate for Payer: Aetna Medicare Advantage	$749.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$636.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$636.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$636.66
Rate for Payer: Cigna Commercial	$1,248.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.57
Rate for Payer: Oxford Commercial	$1,248.35
Rate for Payer: Qualcare PPO/HMO/WC	$374.50
Rate for Payer: UnitedHealthcare Commercial	$1,248.35

CLAMP EX-FIX LG OPEN ADJ

Facility

$2,496.70

Hospital Charge Code	270633451
Hospital Revenue Code	272
Min. Negotiated Rate	$374.50
Max. Negotiated Rate	$374.50
Rate for Payer: Qualcare PPO/HMO/WC	$374.50

CLAMP HOFFMAN

Facility

$4.85

Hospital Charge Code	270300620
Hospital Revenue Code	270
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$0.73
Rate for Payer: Qualcare PPO/HMO/WC	$0.73

CLAMP HOFFMAN

Facility

$4.85

Hospital Charge Code	270300620
Hospital Revenue Code	270
Min. Negotiated Rate	$0.63
Max. Negotiated Rate	$2.42
Rate for Payer: Aetna Commercial	$1.46
Rate for Payer: Aetna Medicare Advantage	$1.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.24
Rate for Payer: Cigna Commercial	$2.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.63
Rate for Payer: Oxford Commercial	$2.42
Rate for Payer: Qualcare PPO/HMO/WC	$0.73
Rate for Payer: UnitedHealthcare Commercial	$2.42

CLAMP HOLE PIN 10 HII MRI

Facility

$5,615.00

Hospital Charge Code	270647999
Hospital Revenue Code	272
Min. Negotiated Rate	$842.25
Max. Negotiated Rate	$842.25
Rate for Payer: Qualcare PPO/HMO/WC	$842.25

CLAMP HOLE PIN 10 HII MRI

Facility

$5,615.00

Hospital Charge Code	270647999
Hospital Revenue Code	272
Min. Negotiated Rate	$729.95
Max. Negotiated Rate	$2,807.50
Rate for Payer: Aetna Commercial	$1,684.50
Rate for Payer: Aetna Medicare Advantage	$1,684.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,431.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,431.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,431.83
Rate for Payer: Cigna Commercial	$2,807.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$729.95
Rate for Payer: Oxford Commercial	$2,807.50
Rate for Payer: Qualcare PPO/HMO/WC	$842.25
Rate for Payer: UnitedHealthcare Commercial	$2,807.50

CLAMP HYAMS PENILE

Facility

$356.50

Hospital Charge Code	270650901
Hospital Revenue Code	272
Min. Negotiated Rate	$53.48
Max. Negotiated Rate	$53.48
Rate for Payer: Qualcare PPO/HMO/WC	$53.48

CLAMP HYAMS PENILE

Facility

$356.50

Hospital Charge Code	270650901
Hospital Revenue Code	272
Min. Negotiated Rate	$46.34
Max. Negotiated Rate	$178.25
Rate for Payer: Aetna Commercial	$106.95
Rate for Payer: Aetna Medicare Advantage	$106.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.91
Rate for Payer: Cigna Commercial	$178.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.34
Rate for Payer: Oxford Commercial	$178.25
Rate for Payer: Qualcare PPO/HMO/WC	$53.48
Rate for Payer: UnitedHealthcare Commercial	$178.25

CLAMP LARGE COMBINATION

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270699321
Hospital Revenue Code	278
Min. Negotiated Rate	$372.00
Max. Negotiated Rate	$600.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: Qualcare PPO/HMO/WC	$372.00

CLAMP LARGE COMBINATION

Facility

$2,480.00

Service Code	HCPCS C1713
Hospital Charge Code	270699321
Hospital Revenue Code	278
Min. Negotiated Rate	$372.00
Max. Negotiated Rate	$1,240.00
Rate for Payer: Cigna Commercial	$1,240.00
Rate for Payer: Aetna Commercial	$744.00
Rate for Payer: Aetna Medicare Advantage	$744.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$632.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$496.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$632.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.16
Rate for Payer: Qualcare PPO/HMO/WC	$372.00

CLAMP LG FIXATOR EXTERNAL UNIV

Facility

$3,043.65

Hospital Charge Code	270634838
Hospital Revenue Code	272
Min. Negotiated Rate	$456.55
Max. Negotiated Rate	$456.55
Rate for Payer: Qualcare PPO/HMO/WC	$456.55

CLAMP LG FIXATOR EXTERNAL UNIV

Facility

$3,043.65

Hospital Charge Code	270634838
Hospital Revenue Code	272
Min. Negotiated Rate	$395.67
Max. Negotiated Rate	$1,521.83
Rate for Payer: Aetna Commercial	$913.10
Rate for Payer: Aetna Medicare Advantage	$913.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$776.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$776.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$776.13
Rate for Payer: Cigna Commercial	$1,521.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$395.67
Rate for Payer: Oxford Commercial	$1,521.83
Rate for Payer: Qualcare PPO/HMO/WC	$456.55
Rate for Payer: UnitedHealthcare Commercial	$1,521.83

CLAMP LUNG ANG 25 MM LOVELACE

Facility

$469.80

Hospital Charge Code	270689566
Hospital Revenue Code	272
Min. Negotiated Rate	$61.07
Max. Negotiated Rate	$234.90
Rate for Payer: Aetna Commercial	$140.94
Rate for Payer: Aetna Medicare Advantage	$140.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.80
Rate for Payer: Cigna Commercial	$234.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.07
Rate for Payer: Oxford Commercial	$234.90
Rate for Payer: Qualcare PPO/HMO/WC	$70.47
Rate for Payer: UnitedHealthcare Commercial	$234.90

CLAMP LUNG ANG 25 MM LOVELACE

Facility

$469.80

Hospital Charge Code	270689566
Hospital Revenue Code	272
Min. Negotiated Rate	$70.47
Max. Negotiated Rate	$70.47
Rate for Payer: Qualcare PPO/HMO/WC	$70.47

CLAMP MEDIUM 4-POSITION WITH

Facility

$2,966.40

Service Code	HCPCS C1713
Hospital Charge Code	270644916
Hospital Revenue Code	272
Min. Negotiated Rate	$444.96
Max. Negotiated Rate	$444.96
Rate for Payer: Qualcare PPO/HMO/WC	$444.96

CLAMP MEDIUM 4-POSITION WITH

Facility

$2,966.40

Service Code	HCPCS C1713
Hospital Charge Code	270644916
Hospital Revenue Code	272
Min. Negotiated Rate	$385.63
Max. Negotiated Rate	$1,483.20
Rate for Payer: Aetna Commercial	$889.92
Rate for Payer: Aetna Medicare Advantage	$889.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$756.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$756.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$756.43
Rate for Payer: Cigna Commercial	$1,483.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$385.63
Rate for Payer: Oxford Commercial	$1,483.20
Rate for Payer: Qualcare PPO/HMO/WC	$444.96
Rate for Payer: UnitedHealthcare Commercial	$1,483.20

CLAMP MEDIUM 6-POSITION WITH

Facility

$3,229.05

Hospital Charge Code	270644914
Hospital Revenue Code	272
Min. Negotiated Rate	$484.36
Max. Negotiated Rate	$484.36
Rate for Payer: Qualcare PPO/HMO/WC	$484.36

Know your out-of-pocket cost for care.

All Charges