Heights University Hospital

All Charges

Charge

Type

Setting

Price

COUNTERSINK5.0MMCANN DARTFIRE

Facility

$1,750.00

Hospital Charge Code	270700384
Hospital Revenue Code	272
Min. Negotiated Rate	$227.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$875.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$875.00

COUNTERSINK5.0MMCANN DARTFIRE

Facility

$1,750.00

Hospital Charge Code	270700384
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

COUNTERSINK 6MM SOLID

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270701058
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

COUNTERSINK 6MM SOLID

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270701058
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
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) NJ Health	$130.00
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	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

COUNTERSINK BX 2.7MM CS2702

Facility

$576.00

Hospital Charge Code	270620189
Hospital Revenue Code	272
Min. Negotiated Rate	$74.88
Max. Negotiated Rate	$288.00
Rate for Payer: Aetna Commercial	$172.80
Rate for Payer: Aetna Medicare Advantage	$172.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.88
Rate for Payer: Cigna Commercial	$288.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.88
Rate for Payer: Oxford Commercial	$288.00
Rate for Payer: Qualcare PPO/HMO/WC	$86.40
Rate for Payer: UnitedHealthcare Commercial	$288.00

COUNTERSINK BX 2.7MM CS2702

Facility

$576.00

Hospital Charge Code	270620189
Hospital Revenue Code	272
Min. Negotiated Rate	$86.40
Max. Negotiated Rate	$86.40
Rate for Payer: Qualcare PPO/HMO/WC	$86.40

COUNTERSINK CANN 6.5/8MM SCREW

Facility

$1,830.00

Hospital Charge Code	270674054
Hospital Revenue Code	278
Min. Negotiated Rate	$274.50
Max. Negotiated Rate	$915.00
Rate for Payer: Aetna Commercial	$549.00
Rate for Payer: Aetna Medicare Advantage	$549.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$466.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$466.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$366.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$466.65
Rate for Payer: Cigna Commercial	$915.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.86
Rate for Payer: Qualcare PPO/HMO/WC	$274.50

COUNTERSINK CANN 6.5/8MM SCREW

Facility

$1,830.00

Hospital Charge Code	270674054
Hospital Revenue Code	278
Min. Negotiated Rate	$274.50
Max. Negotiated Rate	$442.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$366.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.86
Rate for Payer: Qualcare PPO/HMO/WC	$274.50

COUNTERSINK CANN F/4.5MM SCREW

Facility

$1,517.20

Service Code	HCPCS C1713
Hospital Charge Code	270656226
Hospital Revenue Code	278
Min. Negotiated Rate	$227.58
Max. Negotiated Rate	$367.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.16
Rate for Payer: Qualcare PPO/HMO/WC	$227.58

COUNTERSINK CANN F/4.5MM SCREW

Facility

$1,517.20

Service Code	HCPCS C1713
Hospital Charge Code	270656226
Hospital Revenue Code	278
Min. Negotiated Rate	$227.58
Max. Negotiated Rate	$758.60
Rate for Payer: Aetna Commercial	$455.16
Rate for Payer: Aetna Medicare Advantage	$455.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$386.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$386.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$386.89
Rate for Payer: Cigna Commercial	$758.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.16
Rate for Payer: Qualcare PPO/HMO/WC	$227.58

COUNTERSINK CANN F/6.5 & 7.3MM

Facility

$1,875.65

Hospital Charge Code	270667083
Hospital Revenue Code	278
Min. Negotiated Rate	$281.35
Max. Negotiated Rate	$937.83
Rate for Payer: Aetna Commercial	$562.70
Rate for Payer: Aetna Medicare Advantage	$562.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.29
Rate for Payer: Cigna Commercial	$937.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.91
Rate for Payer: Qualcare PPO/HMO/WC	$281.35

COUNTERSINK CANN F/6.5 & 7.3MM

Facility

$1,875.65

Hospital Charge Code	270667083
Hospital Revenue Code	278
Min. Negotiated Rate	$281.35
Max. Negotiated Rate	$453.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.91
Rate for Payer: Qualcare PPO/HMO/WC	$281.35

COUNTERSINK CANN FOR 3.5MM/4MM

Facility

$1,416.00

Service Code	HCPCS C1713
Hospital Charge Code	270656227
Hospital Revenue Code	278
Min. Negotiated Rate	$212.40
Max. Negotiated Rate	$708.00
Rate for Payer: Aetna Commercial	$424.80
Rate for Payer: Aetna Medicare Advantage	$424.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$361.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$361.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$283.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$361.08
Rate for Payer: Cigna Commercial	$708.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$342.67
Rate for Payer: Qualcare PPO/HMO/WC	$212.40

COUNTERSINK CANN FOR 3.5MM/4MM

Facility

$1,416.00

Service Code	HCPCS C1713
Hospital Charge Code	270656227
Hospital Revenue Code	278
Min. Negotiated Rate	$212.40
Max. Negotiated Rate	$342.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$283.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$342.67
Rate for Payer: Qualcare PPO/HMO/WC	$212.40

COUNTERSINK CANN SCREW 2/2.4MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270662575
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$540.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

COUNTERSINK CANN SCREW 2/2.4MM

Facility

$1,800.00

Service Code	HCPCS C1713
Hospital Charge Code	270662575
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$435.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

COUNTERSINK CANNULATED 4.0MM

Facility

$2,553.40

Service Code	HCPCS C1713
Hospital Charge Code	270663658
Hospital Revenue Code	278
Min. Negotiated Rate	$383.01
Max. Negotiated Rate	$1,276.70
Rate for Payer: Aetna Commercial	$766.02
Rate for Payer: Aetna Medicare Advantage	$766.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$510.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$651.12
Rate for Payer: Cigna Commercial	$1,276.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.92
Rate for Payer: Qualcare PPO/HMO/WC	$383.01

COUNTERSINK CANNULATED 4.0MM

Facility

$2,553.40

Service Code	HCPCS C1713
Hospital Charge Code	270663658
Hospital Revenue Code	278
Min. Negotiated Rate	$383.01
Max. Negotiated Rate	$617.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$510.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.92
Rate for Payer: Qualcare PPO/HMO/WC	$383.01

COUNTERSINK CANNULATED 4.0MM

Facility

$772.50

Service Code	HCPCS C1713
Hospital Charge Code	270703752
Hospital Revenue Code	278
Min. Negotiated Rate	$115.88
Max. Negotiated Rate	$386.25
Rate for Payer: Aetna Commercial	$231.75
Rate for Payer: Aetna Medicare Advantage	$231.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.99
Rate for Payer: Cigna Commercial	$386.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.94
Rate for Payer: Qualcare PPO/HMO/WC	$115.88

COUNTERSINK CANNULATED 4.0MM

Facility

$772.50

Service Code	HCPCS C1713
Hospital Charge Code	270703752
Hospital Revenue Code	278
Min. Negotiated Rate	$115.88
Max. Negotiated Rate	$186.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.94
Rate for Payer: Qualcare PPO/HMO/WC	$115.88

COUNTERSINK F/2 & 2.4MM SCREW

Facility

$463.50

Service Code	HCPCS C1713
Hospital Charge Code	270641315
Hospital Revenue Code	278
Min. Negotiated Rate	$69.53
Max. Negotiated Rate	$112.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.17
Rate for Payer: Qualcare PPO/HMO/WC	$69.53

COUNTERSINK F/2 & 2.4MM SCREW

Facility

$463.50

Service Code	HCPCS C1713
Hospital Charge Code	270641315
Hospital Revenue Code	278
Min. Negotiated Rate	$69.53
Max. Negotiated Rate	$231.75
Rate for Payer: Aetna Commercial	$139.05
Rate for Payer: Aetna Medicare Advantage	$139.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.19
Rate for Payer: Cigna Commercial	$231.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.17
Rate for Payer: Qualcare PPO/HMO/WC	$69.53

COUNTERSINK F/3.5 & 4.0 MM CTX

Facility

$624.20

Service Code	HCPCS C1713
Hospital Charge Code	270617326
Hospital Revenue Code	278
Min. Negotiated Rate	$93.63
Max. Negotiated Rate	$312.10
Rate for Payer: Aetna Commercial	$187.26
Rate for Payer: Aetna Medicare Advantage	$187.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.17
Rate for Payer: Cigna Commercial	$312.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.06
Rate for Payer: Qualcare PPO/HMO/WC	$93.63

COUNTERSINK F/3.5 & 4.0 MM CTX

Facility

$624.20

Service Code	HCPCS C1713
Hospital Charge Code	270617326
Hospital Revenue Code	278
Min. Negotiated Rate	$93.63
Max. Negotiated Rate	$151.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.06
Rate for Payer: Qualcare PPO/HMO/WC	$93.63

COUNTERSINK HD 2.0MM

Facility

$852.50

Service Code	HCPCS C1713
Hospital Charge Code	270700628
Hospital Revenue Code	278
Min. Negotiated Rate	$127.88
Max. Negotiated Rate	$426.25
Rate for Payer: Aetna Commercial	$255.75
Rate for Payer: Aetna Medicare Advantage	$255.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$217.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$217.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$217.39
Rate for Payer: Cigna Commercial	$426.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.31
Rate for Payer: Qualcare PPO/HMO/WC	$127.88

Know your out-of-pocket cost for care.

All Charges