Heights University Hospital

All Charges

Charge

Type

Setting

Price

HEAD RIGHT 22MM TR ANGLED

Facility

$16,125.00

Hospital Charge Code	270666835
Hospital Revenue Code	278
Min. Negotiated Rate	$2,418.75
Max. Negotiated Rate	$8,062.50
Rate for Payer: Aetna Commercial	$4,837.50
Rate for Payer: Aetna Medicare Advantage	$4,837.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,111.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,111.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,111.88
Rate for Payer: Cigna Commercial	$8,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,902.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,418.75

HEAD RIGHT 24MM TR ANGLED

Facility

$16,125.00

Hospital Charge Code	270666833
Hospital Revenue Code	278
Min. Negotiated Rate	$2,418.75
Max. Negotiated Rate	$8,062.50
Rate for Payer: Aetna Commercial	$4,837.50
Rate for Payer: Aetna Medicare Advantage	$4,837.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,111.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,111.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,111.88
Rate for Payer: Cigna Commercial	$8,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,902.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,418.75

HEAD RIGHT 24MM TR ANGLED

Facility

$16,125.00

Hospital Charge Code	270666833
Hospital Revenue Code	278
Min. Negotiated Rate	$2,418.75
Max. Negotiated Rate	$3,902.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,902.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,418.75

HEAD ROTATING 35W PRW35

Facility

$508.00

Hospital Charge Code	270608740
Hospital Revenue Code	278
Min. Negotiated Rate	$76.20
Max. Negotiated Rate	$122.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.94
Rate for Payer: Qualcare PPO/HMO/WC	$76.20

HEAD ROTATING 35W PRW35

Facility

$508.00

Hospital Charge Code	270608740
Hospital Revenue Code	278
Min. Negotiated Rate	$76.20
Max. Negotiated Rate	$254.00
Rate for Payer: Aetna Commercial	$152.40
Rate for Payer: Aetna Medicare Advantage	$152.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.54
Rate for Payer: Cigna Commercial	$254.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.94
Rate for Payer: Qualcare PPO/HMO/WC	$76.20

HEAD SCREW 4.0MM X 40 MM DART

Facility

$1,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270704254
Hospital Revenue Code	278
Min. Negotiated Rate	$162.75
Max. Negotiated Rate	$262.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.57
Rate for Payer: Qualcare PPO/HMO/WC	$162.75

HEAD SCREW 4.0MM X 40 MM DART

Facility

$1,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270704254
Hospital Revenue Code	278
Min. Negotiated Rate	$162.75
Max. Negotiated Rate	$542.50
Rate for Payer: Aetna Commercial	$325.50
Rate for Payer: Aetna Medicare Advantage	$325.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$217.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.68
Rate for Payer: Cigna Commercial	$542.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.57
Rate for Payer: Qualcare PPO/HMO/WC	$162.75

HEAD SECTION PAD

Facility

$840.50

Hospital Charge Code	270656359
Hospital Revenue Code	271
Min. Negotiated Rate	$109.27
Max. Negotiated Rate	$420.25
Rate for Payer: Aetna Commercial	$252.15
Rate for Payer: Aetna Medicare Advantage	$252.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.33
Rate for Payer: Cigna Commercial	$420.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.27
Rate for Payer: Oxford Commercial	$420.25
Rate for Payer: Qualcare PPO/HMO/WC	$126.08
Rate for Payer: UnitedHealthcare Commercial	$420.25

HEAD SECTION PAD

Facility

$840.50

Hospital Charge Code	270656359
Hospital Revenue Code	271
Min. Negotiated Rate	$126.08
Max. Negotiated Rate	$126.08
Rate for Payer: Qualcare PPO/HMO/WC	$126.08

HEADSET AUTO REGISTRATION ADUL

Facility

$260.00

Hospital Charge Code	270653840
Hospital Revenue Code	270
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$39.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00

HEADSET AUTO REGISTRATION ADUL

Facility

$260.00

Hospital Charge Code	270653840
Hospital Revenue Code	270
Min. Negotiated Rate	$33.80
Max. Negotiated Rate	$130.00
Rate for Payer: Aetna Commercial	$78.00
Rate for Payer: Aetna Medicare Advantage	$78.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.30
Rate for Payer: Cigna Commercial	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.80
Rate for Payer: Oxford Commercial	$130.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00
Rate for Payer: UnitedHealthcare Commercial	$130.00

HEAD, SHOULDER RESURF. DIA. 4

Facility

$21,125.00

Service Code	HCPCS C1776
Hospital Charge Code	270680383
Hospital Revenue Code	278
Min. Negotiated Rate	$3,168.75
Max. Negotiated Rate	$10,562.50
Rate for Payer: Aetna Commercial	$6,337.50
Rate for Payer: Aetna Medicare Advantage	$6,337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,386.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,386.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,386.88
Rate for Payer: Cigna Commercial	$10,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,112.25
Rate for Payer: Qualcare PPO/HMO/WC	$3,168.75

HEAD, SHOULDER RESURF. DIA. 4

Facility

$21,125.00

Service Code	HCPCS C1776
Hospital Charge Code	270680383
Hospital Revenue Code	278
Min. Negotiated Rate	$3,168.75
Max. Negotiated Rate	$5,112.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,112.25
Rate for Payer: Qualcare PPO/HMO/WC	$3,168.75

HEAD SHOUL TOT 27mX46m43014621

Facility

$610.15

Hospital Charge Code	270635867
Hospital Revenue Code	278
Min. Negotiated Rate	$91.52
Max. Negotiated Rate	$305.07
Rate for Payer: Aetna Commercial	$183.04
Rate for Payer: Aetna Medicare Advantage	$183.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.59
Rate for Payer: Cigna Commercial	$305.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.66
Rate for Payer: Qualcare PPO/HMO/WC	$91.52

HEAD SHOUL TOT 27mX46m43014621

Facility

$610.15

Hospital Charge Code	270635867
Hospital Revenue Code	278
Min. Negotiated Rate	$91.52
Max. Negotiated Rate	$147.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$122.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.66
Rate for Payer: Qualcare PPO/HMO/WC	$91.52

HEAD SIZ 40 MM LDH PROVISIONAL

Facility

$2,400.00

Service Code	HCPCS C1776
Hospital Charge Code	270698604
Hospital Revenue Code	278
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$580.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$580.80
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

HEAD SIZ 40 MM LDH PROVISIONAL

Facility

$2,400.00

Service Code	HCPCS C1776
Hospital Charge Code	270698604
Hospital Revenue Code	278
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$1,200.00
Rate for Payer: Aetna Commercial	$720.00
Rate for Payer: Aetna Medicare Advantage	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$612.00
Rate for Payer: Cigna Commercial	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$580.80
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

HEAD SMR SHOULDER 50MM `

Facility

$21,125.00

Service Code	HCPCS C1776
Hospital Charge Code	270679034
Hospital Revenue Code	278
Min. Negotiated Rate	$3,168.75
Max. Negotiated Rate	$10,562.50
Rate for Payer: Aetna Commercial	$6,337.50
Rate for Payer: Aetna Medicare Advantage	$6,337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,386.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,386.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,386.88
Rate for Payer: Cigna Commercial	$10,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,112.25
Rate for Payer: Qualcare PPO/HMO/WC	$3,168.75

HEAD SMR SHOULDER 50MM `

Facility

$21,125.00

Service Code	HCPCS C1776
Hospital Charge Code	270679034
Hospital Revenue Code	278
Min. Negotiated Rate	$3,168.75
Max. Negotiated Rate	$5,112.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,112.25
Rate for Payer: Qualcare PPO/HMO/WC	$3,168.75

HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$32,965.03

Service Code	APR-DRG 0554
Min. Negotiated Rate	$31,021.06
Max. Negotiated Rate	$32,965.03
Rate for Payer: Aetna Better Health Medicaid	$32,318.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$32,965.03
Rate for Payer: Wellpoint Medicaid Managed Care	$31,021.06

HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$8,493.69

Service Code	APR-DRG 0551
Min. Negotiated Rate	$6,463.39
Max. Negotiated Rate	$8,493.69
Rate for Payer: Aetna Better Health Medicaid	$8,327.15
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,493.69
Rate for Payer: Wellpoint Medicaid Managed Care	$6,463.39

HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$18,341.25

Service Code	APR-DRG 0553
Min. Negotiated Rate	$13,781.37
Max. Negotiated Rate	$18,341.25
Rate for Payer: Aetna Better Health Medicaid	$17,981.62
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,341.25
Rate for Payer: Wellpoint Medicaid Managed Care	$13,781.37

HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$12,149.29

Service Code	APR-DRG 0552
Min. Negotiated Rate	$8,619.18
Max. Negotiated Rate	$12,149.29
Rate for Payer: Aetna Better Health Medicaid	$11,911.07
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,149.29
Rate for Payer: Wellpoint Medicaid Managed Care	$8,619.18

HEAD UNIPOLAR 52MM

Facility

$5,525.00

Service Code	HCPCS C1776
Hospital Charge Code	270677230
Hospital Revenue Code	278
Min. Negotiated Rate	$828.75
Max. Negotiated Rate	$2,762.50
Rate for Payer: Aetna Commercial	$1,657.50
Rate for Payer: Aetna Medicare Advantage	$1,657.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,408.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,408.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,408.88
Rate for Payer: Cigna Commercial	$2,762.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,337.05
Rate for Payer: Qualcare PPO/HMO/WC	$828.75

HEAD UNIPOLAR 52MM

Facility

$5,525.00

Service Code	HCPCS C1776
Hospital Charge Code	270677230
Hospital Revenue Code	278
Min. Negotiated Rate	$828.75
Max. Negotiated Rate	$1,337.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,337.05
Rate for Payer: Qualcare PPO/HMO/WC	$828.75

Know your out-of-pocket cost for care.

All Charges