Heights University Hospital

All Charges

Charge

Type

Setting

Price

Faslodex 250mg/5ml

Facility

$5,266.45

Hospital Charge Code	6000436
Hospital Revenue Code	636
Min. Negotiated Rate	$789.97
Max. Negotiated Rate	$1,274.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,274.48
Rate for Payer: Qualcare PPO/HMO/WC	$789.97

Faslodex 250mg/5ml

Facility

$5,266.45

Hospital Charge Code	6000436
Hospital Revenue Code	636
Min. Negotiated Rate	$789.97
Max. Negotiated Rate	$2,633.22
Rate for Payer: Aetna Commercial	$1,579.93
Rate for Payer: Aetna Medicare Advantage	$1,579.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,342.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,342.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,342.94
Rate for Payer: Cigna Commercial	$2,633.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,274.48
Rate for Payer: Qualcare PPO/HMO/WC	$789.97

FASTAK II SPEAR W/TROCAR

Facility

$1,850.00

Hospital Charge Code	270656514
Hospital Revenue Code	278
Min. Negotiated Rate	$277.50
Max. Negotiated Rate	$925.00
Rate for Payer: Aetna Commercial	$555.00
Rate for Payer: Aetna Medicare Advantage	$555.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$471.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$471.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$370.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$471.75
Rate for Payer: Cigna Commercial	$925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$447.70
Rate for Payer: Qualcare PPO/HMO/WC	$277.50

FASTAK II SPEAR W/TROCAR

Facility

$1,850.00

Hospital Charge Code	270656514
Hospital Revenue Code	278
Min. Negotiated Rate	$277.50
Max. Negotiated Rate	$447.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$447.70
Rate for Payer: Qualcare PPO/HMO/WC	$277.50

FASTENER CART EXOSHAPE 11X30mm

Facility

$3,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270678722
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$1,987.50
Rate for Payer: Aetna Commercial	$1,192.50
Rate for Payer: Aetna Medicare Advantage	$1,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,013.62
Rate for Payer: Cigna Commercial	$1,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

FASTENER CART EXOSHAPE 11X30mm

Facility

$3,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270678722
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$961.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

FASTENER FEM EXOSHAPE 10x21MM

Facility

$6,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270678192
Hospital Revenue Code	278
Min. Negotiated Rate	$1,008.75
Max. Negotiated Rate	$1,627.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,627.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,008.75

FASTENER FEM EXOSHAPE 10x21MM

Facility

$6,725.00

Service Code	HCPCS C1713
Hospital Charge Code	270678192
Hospital Revenue Code	278
Min. Negotiated Rate	$1,008.75
Max. Negotiated Rate	$3,362.50
Rate for Payer: Aetna Commercial	$2,017.50
Rate for Payer: Aetna Medicare Advantage	$2,017.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,714.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,714.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,714.88
Rate for Payer: Cigna Commercial	$3,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,627.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,008.75

FASTENER TIB EXOSHAPE 10x30MM

Facility

$3,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270678193
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$961.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

FASTENER TIB EXOSHAPE 10x30MM

Facility

$3,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270678193
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$1,987.50
Rate for Payer: Aetna Commercial	$1,192.50
Rate for Payer: Aetna Medicare Advantage	$1,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,013.62
Rate for Payer: Cigna Commercial	$1,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

FAST-FIX 360 CRVD CANNULA

Facility

$740.00

Hospital Charge Code	270661479
Hospital Revenue Code	272
Min. Negotiated Rate	$111.00
Max. Negotiated Rate	$111.00
Rate for Payer: Qualcare PPO/HMO/WC	$111.00

FAST-FIX 360 CRVD CANNULA

Facility

$740.00

Hospital Charge Code	270661479
Hospital Revenue Code	272
Min. Negotiated Rate	$96.20
Max. Negotiated Rate	$370.00
Rate for Payer: Aetna Commercial	$222.00
Rate for Payer: Aetna Medicare Advantage	$222.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$188.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$188.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$188.70
Rate for Payer: Cigna Commercial	$370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.20
Rate for Payer: Oxford Commercial	$370.00
Rate for Payer: Qualcare PPO/HMO/WC	$111.00
Rate for Payer: UnitedHealthcare Commercial	$370.00

FAST FIX 360 CURVED NDL DELIVE

Facility

$2,327.80

Hospital Charge Code	270681122
Hospital Revenue Code	272
Min. Negotiated Rate	$349.17
Max. Negotiated Rate	$349.17
Rate for Payer: Qualcare PPO/HMO/WC	$349.17

FAST FIX 360 CURVED NDL DELIVE

Facility

$2,327.80

Hospital Charge Code	270681122
Hospital Revenue Code	272
Min. Negotiated Rate	$302.61
Max. Negotiated Rate	$1,163.90
Rate for Payer: Aetna Commercial	$698.34
Rate for Payer: Aetna Medicare Advantage	$698.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$593.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$593.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$593.59
Rate for Payer: Cigna Commercial	$1,163.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.61
Rate for Payer: Oxford Commercial	$1,163.90
Rate for Payer: Qualcare PPO/HMO/WC	$349.17
Rate for Payer: UnitedHealthcare Commercial	$1,163.90

FASTFIX 360 CURVE NDL DEL SYS

Facility

$2,327.80

Service Code	HCPCS C1713
Hospital Charge Code	270646586
Hospital Revenue Code	278
Min. Negotiated Rate	$349.17
Max. Negotiated Rate	$1,163.90
Rate for Payer: Aetna Commercial	$698.34
Rate for Payer: Aetna Medicare Advantage	$698.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$593.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$593.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$593.59
Rate for Payer: Cigna Commercial	$1,163.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$563.33
Rate for Payer: Qualcare PPO/HMO/WC	$349.17

FASTFIX 360 CURVE NDL DEL SYS

Facility

$2,327.80

Service Code	HCPCS C1713
Hospital Charge Code	270646586
Hospital Revenue Code	278
Min. Negotiated Rate	$349.17
Max. Negotiated Rate	$563.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$465.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$563.33
Rate for Payer: Qualcare PPO/HMO/WC	$349.17

FAST FIX 360 REVERSED CURVE ND

Facility

$2,327.80

Hospital Charge Code	270681124
Hospital Revenue Code	272
Min. Negotiated Rate	$302.61
Max. Negotiated Rate	$1,163.90
Rate for Payer: Aetna Commercial	$698.34
Rate for Payer: Aetna Medicare Advantage	$698.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$593.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$593.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$593.59
Rate for Payer: Cigna Commercial	$1,163.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$302.61
Rate for Payer: Oxford Commercial	$1,163.90
Rate for Payer: Qualcare PPO/HMO/WC	$349.17
Rate for Payer: UnitedHealthcare Commercial	$1,163.90

FAST FIX 360 REVERSED CURVE ND

Facility

$2,327.80

Hospital Charge Code	270681124
Hospital Revenue Code	272
Min. Negotiated Rate	$349.17
Max. Negotiated Rate	$349.17
Rate for Payer: Qualcare PPO/HMO/WC	$349.17

FAST FIX 360 STRA NEDL DEL SYS

Facility

$2,260.00

Hospital Charge Code	270661478
Hospital Revenue Code	272
Min. Negotiated Rate	$339.00
Max. Negotiated Rate	$339.00
Rate for Payer: Qualcare PPO/HMO/WC	$339.00

FAST FIX 360 STRA NEDL DEL SYS

Facility

$2,260.00

Hospital Charge Code	270661478
Hospital Revenue Code	272
Min. Negotiated Rate	$293.80
Max. Negotiated Rate	$1,130.00
Rate for Payer: Aetna Commercial	$678.00
Rate for Payer: Aetna Medicare Advantage	$678.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$576.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$576.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$576.30
Rate for Payer: Cigna Commercial	$1,130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.80
Rate for Payer: Oxford Commercial	$1,130.00
Rate for Payer: Qualcare PPO/HMO/WC	$339.00
Rate for Payer: UnitedHealthcare Commercial	$1,130.00

FAST-FIX DELIVERY SYSTEM 360

Facility

$2,260.00

Hospital Charge Code	270661476
Hospital Revenue Code	272
Min. Negotiated Rate	$293.80
Max. Negotiated Rate	$1,130.00
Rate for Payer: Aetna Commercial	$678.00
Rate for Payer: Aetna Medicare Advantage	$678.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$576.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$576.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$576.30
Rate for Payer: Cigna Commercial	$1,130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.80
Rate for Payer: Oxford Commercial	$1,130.00
Rate for Payer: Qualcare PPO/HMO/WC	$339.00
Rate for Payer: UnitedHealthcare Commercial	$1,130.00

FAST-FIX DELIVERY SYSTEM 360

Facility

$2,260.00

Hospital Charge Code	270661476
Hospital Revenue Code	272
Min. Negotiated Rate	$339.00
Max. Negotiated Rate	$339.00
Rate for Payer: Qualcare PPO/HMO/WC	$339.00

FASTGRAFTER AUTOGRAFT HARVESTI

Facility

$4,975.00

Hospital Charge Code	270704034
Hospital Revenue Code	272
Min. Negotiated Rate	$746.25
Max. Negotiated Rate	$746.25
Rate for Payer: Qualcare PPO/HMO/WC	$746.25

FASTGRAFTER AUTOGRAFT HARVESTI

Facility

$4,975.00

Hospital Charge Code	270704034
Hospital Revenue Code	272
Min. Negotiated Rate	$646.75
Max. Negotiated Rate	$2,487.50
Rate for Payer: Aetna Commercial	$1,492.50
Rate for Payer: Aetna Medicare Advantage	$1,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,268.62
Rate for Payer: Cigna Commercial	$2,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$646.75
Rate for Payer: Oxford Commercial	$2,487.50
Rate for Payer: Qualcare PPO/HMO/WC	$746.25
Rate for Payer: UnitedHealthcare Commercial	$2,487.50

FASTIN 5.0MM RC W/ORTHOCORD

Facility

$1,450.00

Hospital Charge Code	270639527
Hospital Revenue Code	278
Min. Negotiated Rate	$217.50
Max. Negotiated Rate	$350.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.90
Rate for Payer: Qualcare PPO/HMO/WC	$217.50

Know your out-of-pocket cost for care.

All Charges