Heights University Hospital

All Charges

Charge

Type

Setting

Price

HALTER CHIN

Facility

$16.85

Hospital Charge Code	270606680
Hospital Revenue Code	270
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

HALTER CHIN CERVICAL

Facility

$13.65

Hospital Charge Code	270606650
Hospital Revenue Code	270
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$6.83
Rate for Payer: Aetna Commercial	$4.09
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.77
Rate for Payer: Oxford Commercial	$6.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$6.83

HALTER CHIN CERVICAL

Facility

$13.65

Hospital Charge Code	270606650
Hospital Revenue Code	270
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

HALTER HEAD/CHIN CUP UNIVERSAL

Facility

$226.90

Hospital Charge Code	270676394
Hospital Revenue Code	272
Min. Negotiated Rate	$34.03
Max. Negotiated Rate	$34.03
Rate for Payer: Qualcare PPO/HMO/WC	$34.03

HALTER HEAD/CHIN CUP UNIVERSAL

Facility

$226.90

Hospital Charge Code	270676394
Hospital Revenue Code	272
Min. Negotiated Rate	$29.50
Max. Negotiated Rate	$113.45
Rate for Payer: Aetna Commercial	$68.07
Rate for Payer: Aetna Medicare Advantage	$68.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.86
Rate for Payer: Cigna Commercial	$113.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.50
Rate for Payer: Oxford Commercial	$113.45
Rate for Payer: Qualcare PPO/HMO/WC	$34.03
Rate for Payer: UnitedHealthcare Commercial	$113.45

HALTER HEAD LARGE

Facility

$40.35

Hospital Charge Code	270649522
Hospital Revenue Code	272
Min. Negotiated Rate	$6.05
Max. Negotiated Rate	$6.05
Rate for Payer: Qualcare PPO/HMO/WC	$6.05

HALTER HEAD LARGE

Facility

$40.35

Hospital Charge Code	270649522
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$20.18
Rate for Payer: Aetna Commercial	$12.11
Rate for Payer: Aetna Medicare Advantage	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.29
Rate for Payer: Cigna Commercial	$20.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.25
Rate for Payer: Oxford Commercial	$20.18
Rate for Payer: Qualcare PPO/HMO/WC	$6.05
Rate for Payer: UnitedHealthcare Commercial	$20.18

HALTER HEAD MED

Facility

$43.95

Hospital Charge Code	270649523
Hospital Revenue Code	272
Min. Negotiated Rate	$6.59
Max. Negotiated Rate	$6.59
Rate for Payer: Qualcare PPO/HMO/WC	$6.59

HALTER HEAD MED

Facility

$43.95

Hospital Charge Code	270649523
Hospital Revenue Code	272
Min. Negotiated Rate	$5.71
Max. Negotiated Rate	$21.98
Rate for Payer: Aetna Commercial	$13.19
Rate for Payer: Aetna Medicare Advantage	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.21
Rate for Payer: Cigna Commercial	$21.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.71
Rate for Payer: Oxford Commercial	$21.98
Rate for Payer: Qualcare PPO/HMO/WC	$6.59
Rate for Payer: UnitedHealthcare Commercial	$21.98

HAMMER 350 GRAMS

Facility

$1,665.00

Hospital Charge Code	270676858
Hospital Revenue Code	272
Min. Negotiated Rate	$249.75
Max. Negotiated Rate	$249.75
Rate for Payer: Qualcare PPO/HMO/WC	$249.75

HAMMER 350 GRAMS

Facility

$1,665.00

Hospital Charge Code	270676858
Hospital Revenue Code	272
Min. Negotiated Rate	$216.45
Max. Negotiated Rate	$832.50
Rate for Payer: Aetna Commercial	$499.50
Rate for Payer: Aetna Medicare Advantage	$499.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$424.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$424.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$424.57
Rate for Payer: Cigna Commercial	$832.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.45
Rate for Payer: Oxford Commercial	$832.50
Rate for Payer: Qualcare PPO/HMO/WC	$249.75
Rate for Payer: UnitedHealthcare Commercial	$832.50

HAMMERFIX DISP SIZING KEY

Facility

$550.00

Hospital Charge Code	270693087
Hospital Revenue Code	271
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

HAMMERFIX DISP SIZING KEY

Facility

$550.00

Hospital Charge Code	270693087
Hospital Revenue Code	271
Min. Negotiated Rate	$71.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$275.00

HAMMERFIX IMPLANT MEDIUM

Facility

$11,455.00

Service Code	HCPCS C1713
Hospital Charge Code	270693049
Hospital Revenue Code	278
Min. Negotiated Rate	$1,718.25
Max. Negotiated Rate	$2,772.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,291.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,772.11
Rate for Payer: Qualcare PPO/HMO/WC	$1,718.25

HAMMERFIX IMPLANT MEDIUM

Facility

$11,455.00

Service Code	HCPCS C1713
Hospital Charge Code	270693049
Hospital Revenue Code	278
Min. Negotiated Rate	$1,718.25
Max. Negotiated Rate	$5,727.50
Rate for Payer: Aetna Commercial	$3,436.50
Rate for Payer: Aetna Medicare Advantage	$3,436.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,921.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,921.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,291.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,921.03
Rate for Payer: Cigna Commercial	$5,727.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,772.11
Rate for Payer: Qualcare PPO/HMO/WC	$1,718.25

HAMMERFIX INSTRUM SET MED

Facility

$3,420.00

Hospital Charge Code	270693050
Hospital Revenue Code	272
Min. Negotiated Rate	$513.00
Max. Negotiated Rate	$513.00
Rate for Payer: Qualcare PPO/HMO/WC	$513.00

HAMMERFIX INSTRUM SET MED

Facility

$3,420.00

Hospital Charge Code	270693050
Hospital Revenue Code	272
Min. Negotiated Rate	$444.60
Max. Negotiated Rate	$1,710.00
Rate for Payer: Aetna Commercial	$1,026.00
Rate for Payer: Aetna Medicare Advantage	$1,026.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$872.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$872.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$872.10
Rate for Payer: Cigna Commercial	$1,710.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.60
Rate for Payer: Oxford Commercial	$1,710.00
Rate for Payer: Qualcare PPO/HMO/WC	$513.00
Rate for Payer: UnitedHealthcare Commercial	$1,710.00

HAMMERFIX MEDIUM IMPLANT

Facility

$11,455.00

Service Code	HCPCS C1713
Hospital Charge Code	270693086
Hospital Revenue Code	278
Min. Negotiated Rate	$1,718.25
Max. Negotiated Rate	$2,772.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,291.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,772.11
Rate for Payer: Qualcare PPO/HMO/WC	$1,718.25

HAMMERFIX MEDIUM IMPLANT

Facility

$11,455.00

Service Code	HCPCS C1713
Hospital Charge Code	270693086
Hospital Revenue Code	278
Min. Negotiated Rate	$1,718.25
Max. Negotiated Rate	$5,727.50
Rate for Payer: Aetna Commercial	$3,436.50
Rate for Payer: Aetna Medicare Advantage	$3,436.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,921.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,921.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,291.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,921.03
Rate for Payer: Cigna Commercial	$5,727.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,772.11
Rate for Payer: Qualcare PPO/HMO/WC	$1,718.25

HAMMERFIX SIZING KEY

Facility

$550.00

Hospital Charge Code	270693053
Hospital Revenue Code	272
Min. Negotiated Rate	$71.50
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$165.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$275.00

HAMMERFIX SIZING KEY

Facility

$550.00

Hospital Charge Code	270693053
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

HAMMERFUZE IMPLANT 2.5MM STR

Facility

$6,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270679985
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

HAMMERFUZE IMPLANT 2.5MM STR

Facility

$6,750.00

Service Code	HCPCS C1776
Hospital Charge Code	270679985
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,025.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

HAMMERGRAFT CANC SPACER2.8X6MM

Facility

$2,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270694485
Hospital Revenue Code	278
Min. Negotiated Rate	$326.25
Max. Negotiated Rate	$526.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$526.35
Rate for Payer: Qualcare PPO/HMO/WC	$326.25

HAMMERGRAFT CANC SPACER2.8X6MM

Facility

$2,175.00

Service Code	HCPCS C1713
Hospital Charge Code	270694485
Hospital Revenue Code	278
Min. Negotiated Rate	$326.25
Max. Negotiated Rate	$1,087.50
Rate for Payer: Aetna Commercial	$652.50
Rate for Payer: Aetna Medicare Advantage	$652.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$554.62
Rate for Payer: Cigna Commercial	$1,087.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$526.35
Rate for Payer: Qualcare PPO/HMO/WC	$326.25

Know your out-of-pocket cost for care.

All Charges