Heights University Hospital

All Charges

Charge

Type

Setting

Price

FIXATOR BMT WRISTLOC 500000

Facility

$6,307.25

Hospital Charge Code	270624733
Hospital Revenue Code	272
Min. Negotiated Rate	$819.94
Max. Negotiated Rate	$3,153.62
Rate for Payer: Aetna Commercial	$1,892.17
Rate for Payer: Aetna Medicare Advantage	$1,892.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,608.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,608.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,608.35
Rate for Payer: Cigna Commercial	$3,153.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$819.94
Rate for Payer: Oxford Commercial	$3,153.62
Rate for Payer: Qualcare PPO/HMO/WC	$946.09
Rate for Payer: UnitedHealthcare Commercial	$3,153.62

FIXATOR BMT WRISTLOC 500000

Facility

$6,307.25

Hospital Charge Code	270624733
Hospital Revenue Code	272
Min. Negotiated Rate	$946.09
Max. Negotiated Rate	$946.09
Rate for Payer: Qualcare PPO/HMO/WC	$946.09

FIXATOR DISTAL RADIUS 220MM

Facility

$12,706.10

Hospital Charge Code	270650974
Hospital Revenue Code	272
Min. Negotiated Rate	$1,905.91
Max. Negotiated Rate	$1,905.91
Rate for Payer: Qualcare PPO/HMO/WC	$1,905.91

FIXATOR DISTAL RADIUS 220MM

Facility

$12,706.10

Hospital Charge Code	270650974
Hospital Revenue Code	272
Min. Negotiated Rate	$1,651.79
Max. Negotiated Rate	$6,353.05
Rate for Payer: Aetna Commercial	$3,811.83
Rate for Payer: Aetna Medicare Advantage	$3,811.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,240.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,240.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,240.06
Rate for Payer: Cigna Commercial	$6,353.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,651.79
Rate for Payer: Oxford Commercial	$6,353.05
Rate for Payer: Qualcare PPO/HMO/WC	$1,905.91
Rate for Payer: UnitedHealthcare Commercial	$6,353.05

FIXATOR DISTAL RADIUS 240MM

Facility

$11,547.00

Hospital Charge Code	270677335
Hospital Revenue Code	278
Min. Negotiated Rate	$1,732.05
Max. Negotiated Rate	$2,794.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,309.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,794.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,732.05

FIXATOR DISTAL RADIUS 240MM

Facility

$11,547.00

Hospital Charge Code	270677335
Hospital Revenue Code	278
Min. Negotiated Rate	$1,732.05
Max. Negotiated Rate	$5,773.50
Rate for Payer: Aetna Commercial	$3,464.10
Rate for Payer: Aetna Medicare Advantage	$3,464.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,944.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,944.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,309.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,944.49
Rate for Payer: Cigna Commercial	$5,773.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,794.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,732.05

FIXATOR DISTAL RADIUS 395.842S

Facility

$8,556.00

Hospital Charge Code	270626970
Hospital Revenue Code	272
Min. Negotiated Rate	$1,283.40
Max. Negotiated Rate	$1,283.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,283.40

FIXATOR DISTAL RADIUS 395.842S

Facility

$8,556.00

Hospital Charge Code	270626970
Hospital Revenue Code	272
Min. Negotiated Rate	$1,112.28
Max. Negotiated Rate	$4,278.00
Rate for Payer: Aetna Commercial	$2,566.80
Rate for Payer: Aetna Medicare Advantage	$2,566.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,181.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,181.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,181.78
Rate for Payer: Cigna Commercial	$4,278.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,112.28
Rate for Payer: Oxford Commercial	$4,278.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,283.40
Rate for Payer: UnitedHealthcare Commercial	$4,278.00

FIXATOR STANDARD COMPLET 01000

Facility

$14,646.95

Hospital Charge Code	270634728
Hospital Revenue Code	272
Min. Negotiated Rate	$2,197.04
Max. Negotiated Rate	$2,197.04
Rate for Payer: Qualcare PPO/HMO/WC	$2,197.04

FIXATOR STANDARD COMPLET 01000

Facility

$14,646.95

Hospital Charge Code	270634728
Hospital Revenue Code	272
Min. Negotiated Rate	$1,904.10
Max. Negotiated Rate	$7,323.48
Rate for Payer: Aetna Commercial	$4,394.09
Rate for Payer: Aetna Medicare Advantage	$4,394.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,734.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,734.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,734.97
Rate for Payer: Cigna Commercial	$7,323.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,904.10
Rate for Payer: Oxford Commercial	$7,323.48
Rate for Payer: Qualcare PPO/HMO/WC	$2,197.04
Rate for Payer: UnitedHealthcare Commercial	$7,323.48

FIXATR SYN DIS RAD 200 390052S

Facility

$9,796.00

Hospital Charge Code	270612724
Hospital Revenue Code	272
Min. Negotiated Rate	$1,273.48
Max. Negotiated Rate	$4,898.00
Rate for Payer: Aetna Commercial	$2,938.80
Rate for Payer: Aetna Medicare Advantage	$2,938.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,497.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,497.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,497.98
Rate for Payer: Cigna Commercial	$4,898.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,273.48
Rate for Payer: Oxford Commercial	$4,898.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,469.40
Rate for Payer: UnitedHealthcare Commercial	$4,898.00

FIXATR SYN DIS RAD 200 390052S

Facility

$9,796.00

Hospital Charge Code	270612724
Hospital Revenue Code	272
Min. Negotiated Rate	$1,469.40
Max. Negotiated Rate	$1,469.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,469.40

FIXATR SYN DIS RAD 200 395841S

Facility

$8,556.00

Hospital Charge Code	270626969
Hospital Revenue Code	272
Min. Negotiated Rate	$1,283.40
Max. Negotiated Rate	$1,283.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,283.40

FIXATR SYN DIS RAD 200 395841S

Facility

$8,556.00

Hospital Charge Code	270626969
Hospital Revenue Code	272
Min. Negotiated Rate	$1,112.28
Max. Negotiated Rate	$4,278.00
Rate for Payer: Aetna Commercial	$2,566.80
Rate for Payer: Aetna Medicare Advantage	$2,566.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,181.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,181.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,181.78
Rate for Payer: Cigna Commercial	$4,278.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,112.28
Rate for Payer: Oxford Commercial	$4,278.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,283.40
Rate for Payer: UnitedHealthcare Commercial	$4,278.00

FIXATR SYN DIS RAD 220 395822

Facility

$8,267.25

Hospital Charge Code	270625227
Hospital Revenue Code	272
Min. Negotiated Rate	$1,240.09
Max. Negotiated Rate	$1,240.09
Rate for Payer: Qualcare PPO/HMO/WC	$1,240.09

FIXATR SYN DIS RAD 220 395822

Facility

$8,267.25

Hospital Charge Code	270625227
Hospital Revenue Code	272
Min. Negotiated Rate	$1,074.74
Max. Negotiated Rate	$4,133.62
Rate for Payer: Aetna Commercial	$2,480.18
Rate for Payer: Aetna Medicare Advantage	$2,480.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,108.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,108.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,108.15
Rate for Payer: Cigna Commercial	$4,133.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,074.74
Rate for Payer: Oxford Commercial	$4,133.62
Rate for Payer: Qualcare PPO/HMO/WC	$1,240.09
Rate for Payer: UnitedHealthcare Commercial	$4,133.62

FIXED 4.0MM SELF TAPPING 12MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270693407
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

FIXED 4.0MM SELF TAPPING 12MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270693407
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$675.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

FIXED SCREW 4X16MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705474
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

FIXED SCREW 4X16MM

Facility

$750.00

Service Code	HCPCS C1713
Hospital Charge Code	270705474
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
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) NJ Health	$150.00
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	$181.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

FIXOS SCREW 4X36MM.

Facility

$1,760.00

Service Code	HCPCS C1713
Hospital Charge Code	270703680
Hospital Revenue Code	278
Min. Negotiated Rate	$264.00
Max. Negotiated Rate	$880.00
Rate for Payer: Aetna Commercial	$528.00
Rate for Payer: Aetna Medicare Advantage	$528.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$352.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.80
Rate for Payer: Cigna Commercial	$880.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$425.92
Rate for Payer: Qualcare PPO/HMO/WC	$264.00

FIXOS SCREW 4X36MM.

Facility

$1,760.00

Service Code	HCPCS C1713
Hospital Charge Code	270703680
Hospital Revenue Code	278
Min. Negotiated Rate	$264.00
Max. Negotiated Rate	$425.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$352.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$425.92
Rate for Payer: Qualcare PPO/HMO/WC	$264.00

FIX PIN

Facility

$543.80

Service Code	HCPCS C1713
Hospital Charge Code	270689205
Hospital Revenue Code	278
Min. Negotiated Rate	$81.57
Max. Negotiated Rate	$131.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.60
Rate for Payer: Qualcare PPO/HMO/WC	$81.57

FIX PIN

Facility

$543.80

Service Code	HCPCS C1713
Hospital Charge Code	270689205
Hospital Revenue Code	278
Min. Negotiated Rate	$81.57
Max. Negotiated Rate	$271.90
Rate for Payer: Aetna Commercial	$163.14
Rate for Payer: Aetna Medicare Advantage	$163.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.67
Rate for Payer: Cigna Commercial	$271.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.60
Rate for Payer: Qualcare PPO/HMO/WC	$81.57

FLAGYL/250MG/TAB

Facility

$12.00

Hospital Charge Code	60632993
Hospital Revenue Code	250
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$6.00
Rate for Payer: Aetna Commercial	$3.60
Rate for Payer: Aetna Medicare Advantage	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.06
Rate for Payer: Cigna Commercial	$6.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.56
Rate for Payer: Oxford Commercial	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Commercial	$6.00

Know your out-of-pocket cost for care.

All Charges