Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

END CAP FOR RFNA 0MM

Facility

$2,595.00

Service Code	HCPCS C1713
Hospital Charge Code	270699469
Hospital Revenue Code	278
Min. Negotiated Rate	$389.25
Max. Negotiated Rate	$1,297.50
Rate for Payer: Aetna Commercial	$778.50
Rate for Payer: Aetna Medicare Advantage	$778.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$661.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$661.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$519.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$661.73
Rate for Payer: Cigna Commercial	$1,297.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$627.99
Rate for Payer: Qualcare PPO/HMO/WC	$389.25

END CAP FOR RFNA 0MM

Facility

$2,595.00

Service Code	HCPCS C1713
Hospital Charge Code	270699469
Hospital Revenue Code	278
Min. Negotiated Rate	$389.25
Max. Negotiated Rate	$627.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$519.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$627.99
Rate for Payer: Qualcare PPO/HMO/WC	$389.25

END CAP HUMERAL NAIL 0400100S

Facility

$810.00

Hospital Charge Code	270637806
Hospital Revenue Code	272
Min. Negotiated Rate	$121.50
Max. Negotiated Rate	$121.50
Rate for Payer: Qualcare PPO/HMO/WC	$121.50

END CAP HUMERAL NAIL 0400100S

Facility

$810.00

Hospital Charge Code	270637806
Hospital Revenue Code	272
Min. Negotiated Rate	$105.30
Max. Negotiated Rate	$405.00
Rate for Payer: Aetna Commercial	$243.00
Rate for Payer: Aetna Medicare Advantage	$243.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$206.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$206.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$206.55
Rate for Payer: Cigna Commercial	$405.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.30
Rate for Payer: Oxford Commercial	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$121.50
Rate for Payer: UnitedHealthcare Commercial	$405.00

ENDCAP LOCK CREO THREAD 5.5MM

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270693436
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

ENDCAP LOCK CREO THREAD 5.5MM

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	270693436
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

ENDCAP LOCKING MIS CREO

Facility

$5,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270693233
Hospital Revenue Code	278
Min. Negotiated Rate	$772.50
Max. Negotiated Rate	$2,575.00
Rate for Payer: Aetna Commercial	$1,545.00
Rate for Payer: Aetna Medicare Advantage	$1,545.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,313.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,313.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,313.25
Rate for Payer: Cigna Commercial	$2,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,246.30
Rate for Payer: Qualcare PPO/HMO/WC	$772.50

ENDCAP LOCKING MIS CREO

Facility

$5,150.00

Service Code	HCPCS C1713
Hospital Charge Code	270693233
Hospital Revenue Code	278
Min. Negotiated Rate	$772.50
Max. Negotiated Rate	$1,246.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,030.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,246.30
Rate for Payer: Qualcare PPO/HMO/WC	$772.50

END CAP OFFSET 11X5MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270699220
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

END CAP OFFSET 11X5MM

Facility

$1,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270699220
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$242.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

END CAP OFFSET 12X5mm 14444181

Facility

$552.00

Hospital Charge Code	270645057
Hospital Revenue Code	272
Min. Negotiated Rate	$82.80
Max. Negotiated Rate	$82.80
Rate for Payer: Qualcare PPO/HMO/WC	$82.80

END CAP OFFSET 12X5mm 14444181

Facility

$552.00

Hospital Charge Code	270645057
Hospital Revenue Code	272
Min. Negotiated Rate	$71.76
Max. Negotiated Rate	$276.00
Rate for Payer: Aetna Commercial	$165.60
Rate for Payer: Aetna Medicare Advantage	$165.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.76
Rate for Payer: Cigna Commercial	$276.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.76
Rate for Payer: Oxford Commercial	$276.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.80
Rate for Payer: UnitedHealthcare Commercial	$276.00

END CAP OFFSET13.5X15 14444193

Facility

$552.00

Hospital Charge Code	270645063
Hospital Revenue Code	272
Min. Negotiated Rate	$82.80
Max. Negotiated Rate	$82.80
Rate for Payer: Qualcare PPO/HMO/WC	$82.80

END CAP OFFSET13.5X15 14444193

Facility

$552.00

Hospital Charge Code	270645063
Hospital Revenue Code	272
Min. Negotiated Rate	$71.76
Max. Negotiated Rate	$276.00
Rate for Payer: Aetna Commercial	$165.60
Rate for Payer: Aetna Medicare Advantage	$165.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.76
Rate for Payer: Cigna Commercial	$276.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.76
Rate for Payer: Oxford Commercial	$276.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.80
Rate for Payer: UnitedHealthcare Commercial	$276.00

END CAP, SCREWS

Facility

$257.50

Hospital Charge Code	270702324
Hospital Revenue Code	278
Min. Negotiated Rate	$38.62
Max. Negotiated Rate	$62.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.31
Rate for Payer: Qualcare PPO/HMO/WC	$38.62

END CAP, SCREWS

Facility

$257.50

Hospital Charge Code	270702324
Hospital Revenue Code	278
Min. Negotiated Rate	$38.62
Max. Negotiated Rate	$128.75
Rate for Payer: Aetna Commercial	$77.25
Rate for Payer: Aetna Medicare Advantage	$77.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.66
Rate for Payer: Cigna Commercial	$128.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.31
Rate for Payer: Qualcare PPO/HMO/WC	$38.62

ENDCAP SYN 458.10S

Facility

$450.45

Hospital Charge Code	270612762
Hospital Revenue Code	278
Min. Negotiated Rate	$67.57
Max. Negotiated Rate	$109.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.01
Rate for Payer: Qualcare PPO/HMO/WC	$67.57

ENDCAP SYN 458.10S

Facility

$450.45

Hospital Charge Code	270612762
Hospital Revenue Code	278
Min. Negotiated Rate	$67.57
Max. Negotiated Rate	$225.22
Rate for Payer: Aetna Commercial	$135.13
Rate for Payer: Aetna Medicare Advantage	$135.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.86
Rate for Payer: Cigna Commercial	$225.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.01
Rate for Payer: Qualcare PPO/HMO/WC	$67.57

ENDCAP SYN FEM NAIL 450.896S

Facility

$668.85

Hospital Charge Code	270627049
Hospital Revenue Code	278
Min. Negotiated Rate	$100.33
Max. Negotiated Rate	$161.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.86
Rate for Payer: Qualcare PPO/HMO/WC	$100.33

ENDCAP SYN FEM NAIL 450.896S

Facility

$668.85

Hospital Charge Code	270627049
Hospital Revenue Code	278
Min. Negotiated Rate	$100.33
Max. Negotiated Rate	$334.43
Rate for Payer: Aetna Commercial	$200.66
Rate for Payer: Aetna Medicare Advantage	$200.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.56
Rate for Payer: Cigna Commercial	$334.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.86
Rate for Payer: Qualcare PPO/HMO/WC	$100.33

ENDCAP SYN SPIR BLDE 457.010S

Facility

$907.25

Hospital Charge Code	270611968
Hospital Revenue Code	278
Min. Negotiated Rate	$136.09
Max. Negotiated Rate	$453.62
Rate for Payer: Aetna Commercial	$272.18
Rate for Payer: Aetna Medicare Advantage	$272.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.35
Rate for Payer: Cigna Commercial	$453.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.55
Rate for Payer: Qualcare PPO/HMO/WC	$136.09

ENDCAP SYN SPIR BLDE 457.010S

Facility

$907.25

Hospital Charge Code	270611968
Hospital Revenue Code	278
Min. Negotiated Rate	$136.09
Max. Negotiated Rate	$219.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.55
Rate for Payer: Qualcare PPO/HMO/WC	$136.09

END CAP T2 10MM 182200108

Facility

$910.00

Hospital Charge Code	270639018
Hospital Revenue Code	272
Min. Negotiated Rate	$118.30
Max. Negotiated Rate	$455.00
Rate for Payer: Aetna Commercial	$273.00
Rate for Payer: Aetna Medicare Advantage	$273.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.05
Rate for Payer: Cigna Commercial	$455.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.30
Rate for Payer: Oxford Commercial	$455.00
Rate for Payer: Qualcare PPO/HMO/WC	$136.50
Rate for Payer: UnitedHealthcare Commercial	$455.00

END CAP T2 10MM 182200108

Facility

$910.00

Hospital Charge Code	270639018
Hospital Revenue Code	272
Min. Negotiated Rate	$136.50
Max. Negotiated Rate	$136.50
Rate for Payer: Qualcare PPO/HMO/WC	$136.50

Know your out-of-pocket cost for care.

All Charges