Heights University Hospital

All Charges

Charge

Type

Setting

Price

ENDARSECTOR WHITE 20 1001-755

Facility

$45.50

Hospital Charge Code	270622089
Hospital Revenue Code	270
Min. Negotiated Rate	$5.92
Max. Negotiated Rate	$22.75
Rate for Payer: Aetna Commercial	$13.65
Rate for Payer: Aetna Medicare Advantage	$13.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.60
Rate for Payer: Cigna Commercial	$22.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.92
Rate for Payer: Oxford Commercial	$22.75
Rate for Payer: Qualcare PPO/HMO/WC	$6.83
Rate for Payer: UnitedHealthcare Commercial	$22.75

ENDARSECTOR WHITE 20 1001-755

Facility

$45.50

Hospital Charge Code	270622089
Hospital Revenue Code	270
Min. Negotiated Rate	$6.83
Max. Negotiated Rate	$6.83
Rate for Payer: Qualcare PPO/HMO/WC	$6.83

END CAP 0

Facility

$1,088.95

Hospital Charge Code	270687877
Hospital Revenue Code	272
Min. Negotiated Rate	$163.34
Max. Negotiated Rate	$163.34
Rate for Payer: Qualcare PPO/HMO/WC	$163.34

END CAP 0

Facility

$1,088.95

Hospital Charge Code	270687877
Hospital Revenue Code	272
Min. Negotiated Rate	$141.56
Max. Negotiated Rate	$544.48
Rate for Payer: Aetna Commercial	$326.69
Rate for Payer: Aetna Medicare Advantage	$326.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$277.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$277.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$277.68
Rate for Payer: Cigna Commercial	$544.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.56
Rate for Payer: Oxford Commercial	$544.48
Rate for Payer: Qualcare PPO/HMO/WC	$163.34
Rate for Payer: UnitedHealthcare Commercial	$544.48

END CAP 0

Facility

$1,062.20

Hospital Charge Code	270687793
Hospital Revenue Code	272
Min. Negotiated Rate	$138.09
Max. Negotiated Rate	$531.10
Rate for Payer: Aetna Commercial	$318.66
Rate for Payer: Aetna Medicare Advantage	$318.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.86
Rate for Payer: Cigna Commercial	$531.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.09
Rate for Payer: Oxford Commercial	$531.10
Rate for Payer: Qualcare PPO/HMO/WC	$159.33
Rate for Payer: UnitedHealthcare Commercial	$531.10

END CAP 0

Facility

$1,062.20

Hospital Charge Code	270687793
Hospital Revenue Code	272
Min. Negotiated Rate	$159.33
Max. Negotiated Rate	$159.33
Rate for Payer: Qualcare PPO/HMO/WC	$159.33

END CAP 15 MM EXTENTION

Facility

$979.95

Service Code	HCPCS C1713
Hospital Charge Code	270688998
Hospital Revenue Code	278
Min. Negotiated Rate	$146.99
Max. Negotiated Rate	$489.98
Rate for Payer: Aetna Commercial	$293.99
Rate for Payer: Aetna Medicare Advantage	$293.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.89
Rate for Payer: Cigna Commercial	$489.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.15
Rate for Payer: Qualcare PPO/HMO/WC	$146.99

END CAP 15 MM EXTENTION

Facility

$979.95

Service Code	HCPCS C1713
Hospital Charge Code	270688998
Hospital Revenue Code	278
Min. Negotiated Rate	$146.99
Max. Negotiated Rate	$237.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.15
Rate for Payer: Qualcare PPO/HMO/WC	$146.99

END CAP 1-PIECE ITST 225908

Facility

$720.40

Hospital Charge Code	270634158
Hospital Revenue Code	272
Min. Negotiated Rate	$93.65
Max. Negotiated Rate	$360.20
Rate for Payer: Aetna Commercial	$216.12
Rate for Payer: Aetna Medicare Advantage	$216.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.70
Rate for Payer: Cigna Commercial	$360.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.65
Rate for Payer: Oxford Commercial	$360.20
Rate for Payer: Qualcare PPO/HMO/WC	$108.06
Rate for Payer: UnitedHealthcare Commercial	$360.20

END CAP 1-PIECE ITST 225908

Facility

$720.40

Hospital Charge Code	270634158
Hospital Revenue Code	272
Min. Negotiated Rate	$108.06
Max. Negotiated Rate	$108.06
Rate for Payer: Qualcare PPO/HMO/WC	$108.06

END CAP 1-PIECE NAIL 0m 225909

Facility

$720.40

Hospital Charge Code	270633873
Hospital Revenue Code	272
Min. Negotiated Rate	$108.06
Max. Negotiated Rate	$108.06
Rate for Payer: Qualcare PPO/HMO/WC	$108.06

END CAP 1-PIECE NAIL 0m 225909

Facility

$720.40

Hospital Charge Code	270633873
Hospital Revenue Code	272
Min. Negotiated Rate	$93.65
Max. Negotiated Rate	$360.20
Rate for Payer: Aetna Commercial	$216.12
Rate for Payer: Aetna Medicare Advantage	$216.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.70
Rate for Payer: Cigna Commercial	$360.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.65
Rate for Payer: Oxford Commercial	$360.20
Rate for Payer: Qualcare PPO/HMO/WC	$108.06
Rate for Payer: UnitedHealthcare Commercial	$360.20

END CAP 8X4MM

Facility

$1,530.00

Hospital Charge Code	270670458
Hospital Revenue Code	272
Min. Negotiated Rate	$229.50
Max. Negotiated Rate	$229.50
Rate for Payer: Qualcare PPO/HMO/WC	$229.50

END CAP 8X4MM

Facility

$1,530.00

Hospital Charge Code	270670458
Hospital Revenue Code	272
Min. Negotiated Rate	$198.90
Max. Negotiated Rate	$765.00
Rate for Payer: Aetna Commercial	$459.00
Rate for Payer: Aetna Medicare Advantage	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.15
Rate for Payer: Cigna Commercial	$765.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.90
Rate for Payer: Oxford Commercial	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$229.50
Rate for Payer: UnitedHealthcare Commercial	$765.00

END CAPARTHRODESIS NAIL PANTA2

Facility

$8,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270699958
Hospital Revenue Code	278
Min. Negotiated Rate	$1,290.00
Max. Negotiated Rate	$2,081.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,081.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,290.00

END CAPARTHRODESIS NAIL PANTA2

Facility

$8,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270699958
Hospital Revenue Code	278
Min. Negotiated Rate	$1,290.00
Max. Negotiated Rate	$4,300.00
Rate for Payer: Aetna Commercial	$2,580.00
Rate for Payer: Aetna Medicare Advantage	$2,580.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,193.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,193.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,193.00
Rate for Payer: Cigna Commercial	$4,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,081.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,290.00

ENDCAP BMT 345211

Facility

$813.65

Hospital Charge Code	270614897
Hospital Revenue Code	278
Min. Negotiated Rate	$122.05
Max. Negotiated Rate	$196.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: Qualcare PPO/HMO/WC	$122.05

ENDCAP BMT 345211

Facility

$813.65

Hospital Charge Code	270614897
Hospital Revenue Code	278
Min. Negotiated Rate	$122.05
Max. Negotiated Rate	$406.82
Rate for Payer: Aetna Commercial	$244.09
Rate for Payer: Aetna Medicare Advantage	$244.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.48
Rate for Payer: Cigna Commercial	$406.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: Qualcare PPO/HMO/WC	$122.05

ENDCAP BMT FEMORAL 345216

Facility

$1,005.00

Hospital Charge Code	270614626
Hospital Revenue Code	278
Min. Negotiated Rate	$150.75
Max. Negotiated Rate	$243.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.21
Rate for Payer: Qualcare PPO/HMO/WC	$150.75

ENDCAP BMT FEMORAL 345216

Facility

$1,005.00

Hospital Charge Code	270614626
Hospital Revenue Code	278
Min. Negotiated Rate	$150.75
Max. Negotiated Rate	$502.50
Rate for Payer: Aetna Commercial	$301.50
Rate for Payer: Aetna Medicare Advantage	$301.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$256.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$256.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$256.27
Rate for Payer: Cigna Commercial	$502.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.21
Rate for Payer: Qualcare PPO/HMO/WC	$150.75

ENDCAP BMT FOR NAIL 345220

Facility

$980.00

Hospital Charge Code	270606462
Hospital Revenue Code	278
Min. Negotiated Rate	$147.00
Max. Negotiated Rate	$490.00
Rate for Payer: Aetna Commercial	$294.00
Rate for Payer: Aetna Medicare Advantage	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.90
Rate for Payer: Cigna Commercial	$490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: Qualcare PPO/HMO/WC	$147.00

ENDCAP BMT FOR NAIL 345220

Facility

$980.00

Hospital Charge Code	270606462
Hospital Revenue Code	278
Min. Negotiated Rate	$147.00
Max. Negotiated Rate	$237.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: Qualcare PPO/HMO/WC	$147.00

ENDCAP BMT TIBIAL 345215

Facility

$718.45

Hospital Charge Code	270609859
Hospital Revenue Code	278
Min. Negotiated Rate	$107.77
Max. Negotiated Rate	$173.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.86
Rate for Payer: Qualcare PPO/HMO/WC	$107.77

ENDCAP BMT TIBIAL 345215

Facility

$718.45

Hospital Charge Code	270609859
Hospital Revenue Code	278
Min. Negotiated Rate	$107.77
Max. Negotiated Rate	$359.23
Rate for Payer: Aetna Commercial	$215.53
Rate for Payer: Aetna Medicare Advantage	$215.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.20
Rate for Payer: Cigna Commercial	$359.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.86
Rate for Payer: Qualcare PPO/HMO/WC	$107.77

END CAP FOR 4.0mm SCHANZ PIN

Facility

$17.15

Hospital Charge Code	270644920
Hospital Revenue Code	272
Min. Negotiated Rate	$2.23
Max. Negotiated Rate	$8.57
Rate for Payer: Aetna Commercial	$5.14
Rate for Payer: Aetna Medicare Advantage	$5.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.37
Rate for Payer: Cigna Commercial	$8.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.23
Rate for Payer: Oxford Commercial	$8.57
Rate for Payer: Qualcare PPO/HMO/WC	$2.57
Rate for Payer: UnitedHealthcare Commercial	$8.57

Know your out-of-pocket cost for care.

All Charges