Heights University Hospital

All Charges

Charge

Type

Setting

Price

2.0MM DRILL BIT/QC/100MM

Facility

$337.40

Hospital Charge Code	270601803
Hospital Revenue Code	272
Min. Negotiated Rate	$50.61
Max. Negotiated Rate	$50.61
Rate for Payer: Qualcare PPO/HMO/WC	$50.61

2.0MM DRILL BIT/QC/100MM

Facility

$337.40

Hospital Charge Code	270601803
Hospital Revenue Code	272
Min. Negotiated Rate	$43.86
Max. Negotiated Rate	$168.70
Rate for Payer: Aetna Commercial	$101.22
Rate for Payer: Aetna Medicare Advantage	$101.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.04
Rate for Payer: Cigna Commercial	$168.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.86
Rate for Payer: Oxford Commercial	$168.70
Rate for Payer: Qualcare PPO/HMO/WC	$50.61
Rate for Payer: UnitedHealthcare Commercial	$168.70

2.0MM K-WIRE W/15MM THREAD

Facility

$751.15

Hospital Charge Code	270682114
Hospital Revenue Code	272
Min. Negotiated Rate	$97.65
Max. Negotiated Rate	$375.57
Rate for Payer: Aetna Commercial	$225.34
Rate for Payer: Aetna Medicare Advantage	$225.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.54
Rate for Payer: Cigna Commercial	$375.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.65
Rate for Payer: Oxford Commercial	$375.57
Rate for Payer: Qualcare PPO/HMO/WC	$112.67
Rate for Payer: UnitedHealthcare Commercial	$375.57

2.0MM K-WIRE W/15MM THREAD

Facility

$751.15

Hospital Charge Code	270682114
Hospital Revenue Code	272
Min. Negotiated Rate	$112.67
Max. Negotiated Rate	$112.67
Rate for Payer: Qualcare PPO/HMO/WC	$112.67

2.0MM LCP TM PLT 6H 45MM

Facility

$1,125.55

Service Code	HCPCS C1713
Hospital Charge Code	270690832
Hospital Revenue Code	278
Min. Negotiated Rate	$168.83
Max. Negotiated Rate	$272.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.38
Rate for Payer: Qualcare PPO/HMO/WC	$168.83

2.0MM LCP TM PLT 6H 45MM

Facility

$1,125.55

Service Code	HCPCS C1713
Hospital Charge Code	270690832
Hospital Revenue Code	278
Min. Negotiated Rate	$168.83
Max. Negotiated Rate	$562.77
Rate for Payer: Aetna Commercial	$337.67
Rate for Payer: Aetna Medicare Advantage	$337.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.02
Rate for Payer: Cigna Commercial	$562.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.38
Rate for Payer: Qualcare PPO/HMO/WC	$168.83

2.0MMVALOCKSLFTPWT6SDRREC11M

Facility

$597.20

Service Code	HCPCS C1713
Hospital Charge Code	270690830
Hospital Revenue Code	278
Min. Negotiated Rate	$89.58
Max. Negotiated Rate	$144.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.52
Rate for Payer: Qualcare PPO/HMO/WC	$89.58

2.0MMVALOCKSLFTPWT6SDRREC11M

Facility

$597.20

Service Code	HCPCS C1713
Hospital Charge Code	270690830
Hospital Revenue Code	278
Min. Negotiated Rate	$89.58
Max. Negotiated Rate	$298.60
Rate for Payer: Aetna Commercial	$179.16
Rate for Payer: Aetna Medicare Advantage	$179.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152.29
Rate for Payer: Cigna Commercial	$298.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.52
Rate for Payer: Qualcare PPO/HMO/WC	$89.58

2.0MM WRIGHT MEDICAL HEX DRIVE

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270702607
Hospital Revenue Code	278
Min. Negotiated Rate	$111.38
Max. Negotiated Rate	$179.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.69
Rate for Payer: Qualcare PPO/HMO/WC	$111.38

2.0MM WRIGHT MEDICAL HEX DRIVE

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270702607
Hospital Revenue Code	278
Min. Negotiated Rate	$111.38
Max. Negotiated Rate	$371.25
Rate for Payer: Aetna Commercial	$222.75
Rate for Payer: Aetna Medicare Advantage	$222.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.34
Rate for Payer: Cigna Commercial	$371.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.69
Rate for Payer: Qualcare PPO/HMO/WC	$111.38

2.0 OLIVE WIRE

Facility

$750.00

Hospital Charge Code	270339498
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

2.0 OLIVE WIRE

Facility

$750.00

Hospital Charge Code	270339498
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$375.00

2-0 STRATAFIX SH-1

Facility

$113.20

Hospital Charge Code	270686132
Hospital Revenue Code	272
Min. Negotiated Rate	$16.98
Max. Negotiated Rate	$16.98
Rate for Payer: Qualcare PPO/HMO/WC	$16.98

2-0 STRATAFIX SH-1

Facility

$113.20

Hospital Charge Code	270686132
Hospital Revenue Code	272
Min. Negotiated Rate	$14.72
Max. Negotiated Rate	$56.60
Rate for Payer: Aetna Commercial	$33.96
Rate for Payer: Aetna Medicare Advantage	$33.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.87
Rate for Payer: Cigna Commercial	$56.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.72
Rate for Payer: Oxford Commercial	$56.60
Rate for Payer: Qualcare PPO/HMO/WC	$16.98
Rate for Payer: UnitedHealthcare Commercial	$56.60

2.0X12MM BONESCREW AXS

Facility

$461.85

Service Code	HCPCS C1713
Hospital Charge Code	270705885
Hospital Revenue Code	278
Min. Negotiated Rate	$69.28
Max. Negotiated Rate	$111.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.77
Rate for Payer: Qualcare PPO/HMO/WC	$69.28

2.0X12MM BONESCREW AXS

Facility

$461.85

Service Code	HCPCS C1713
Hospital Charge Code	270705885
Hospital Revenue Code	278
Min. Negotiated Rate	$69.28
Max. Negotiated Rate	$230.93
Rate for Payer: Aetna Commercial	$138.56
Rate for Payer: Aetna Medicare Advantage	$138.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.77
Rate for Payer: Cigna Commercial	$230.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.77
Rate for Payer: Qualcare PPO/HMO/WC	$69.28

2.0X12MM DRILL

Facility

$750.00

Service Code	HCPCS 750
Hospital Charge Code	270705076
Hospital Revenue Code	279
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$225.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$375.00

2.0X12MM DRILL

Facility

$750.00

Service Code	HCPCS 750
Hospital Charge Code	270705076
Hospital Revenue Code	279
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

2.0X12 QUICK FIX SCREW

Facility

$1,520.00

Service Code	HCPCS C1713
Hospital Charge Code	270656560
Hospital Revenue Code	278
Min. Negotiated Rate	$228.00
Max. Negotiated Rate	$760.00
Rate for Payer: Aetna Commercial	$456.00
Rate for Payer: Aetna Medicare Advantage	$456.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.60
Rate for Payer: Cigna Commercial	$760.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.84
Rate for Payer: Qualcare PPO/HMO/WC	$228.00

2.0X12 QUICK FIX SCREW

Facility

$1,520.00

Service Code	HCPCS C1713
Hospital Charge Code	270656560
Hospital Revenue Code	278
Min. Negotiated Rate	$228.00
Max. Negotiated Rate	$367.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.84
Rate for Payer: Qualcare PPO/HMO/WC	$228.00

2.0 X 150 GUIDE PIN

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270688784
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

2.0 X 150 GUIDE PIN

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270688784
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$126.00
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

2.0 X 150MM K-WIRE

Facility

$150.00

Hospital Charge Code	270339523
Hospital Revenue Code	278
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$45.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

2.0 X 150MM K-WIRE

Facility

$150.00

Hospital Charge Code	270339523
Hospital Revenue Code	278
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

2.0X16MM CANNULATED SCREW

Facility

$1,074.75

Service Code	HCPCS C1713
Hospital Charge Code	270668752
Hospital Revenue Code	278
Min. Negotiated Rate	$161.21
Max. Negotiated Rate	$537.38
Rate for Payer: Aetna Commercial	$322.43
Rate for Payer: Aetna Medicare Advantage	$322.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.06
Rate for Payer: Cigna Commercial	$537.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.09
Rate for Payer: Qualcare PPO/HMO/WC	$161.21

Know your out-of-pocket cost for care.

All Charges