Heights University Hospital

All Charges

Charge

Type

Setting

Price

ANCHOR ICONIX SELF 2.3MMx1.2MM

Facility

$4,043.85

Service Code	HCPCS C1713
Hospital Charge Code	270689569
Hospital Revenue Code	278
Min. Negotiated Rate	$606.58
Max. Negotiated Rate	$978.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$808.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$978.61
Rate for Payer: Qualcare PPO/HMO/WC	$606.58

ANCHOR INFL BONE SCRW 78351100

Facility

$3,016.85

Hospital Charge Code	270611026
Hospital Revenue Code	278
Min. Negotiated Rate	$452.53
Max. Negotiated Rate	$730.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$603.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$730.08
Rate for Payer: Qualcare PPO/HMO/WC	$452.53

ANCHOR INFL BONE SCRW 78351100

Facility

$3,016.85

Hospital Charge Code	270611026
Hospital Revenue Code	278
Min. Negotiated Rate	$452.53
Max. Negotiated Rate	$1,508.42
Rate for Payer: Aetna Commercial	$905.05
Rate for Payer: Aetna Medicare Advantage	$905.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$769.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$769.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$603.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$769.30
Rate for Payer: Cigna Commercial	$1,508.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$730.08
Rate for Payer: Qualcare PPO/HMO/WC	$452.53

ANCHORING DEVICE SPRING 5-11MM

Facility

$30.60

Hospital Charge Code	270651488
Hospital Revenue Code	272
Min. Negotiated Rate	$4.59
Max. Negotiated Rate	$4.59
Rate for Payer: Qualcare PPO/HMO/WC	$4.59

ANCHORING DEVICE SPRING 5-11MM

Facility

$30.60

Hospital Charge Code	270651488
Hospital Revenue Code	272
Min. Negotiated Rate	$3.98
Max. Negotiated Rate	$15.30
Rate for Payer: Aetna Commercial	$9.18
Rate for Payer: Aetna Medicare Advantage	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.80
Rate for Payer: Cigna Commercial	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.98
Rate for Payer: Oxford Commercial	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$4.59
Rate for Payer: UnitedHealthcare Commercial	$15.30

ANCHORING DEVICE SPRING 5-12MM

Facility

$30.60

Hospital Charge Code	270605299
Hospital Revenue Code	272
Min. Negotiated Rate	$4.59
Max. Negotiated Rate	$4.59
Rate for Payer: Qualcare PPO/HMO/WC	$4.59

ANCHORING DEVICE SPRING 5-12MM

Facility

$30.60

Hospital Charge Code	270605299
Hospital Revenue Code	272
Min. Negotiated Rate	$3.98
Max. Negotiated Rate	$15.30
Rate for Payer: Aetna Commercial	$9.18
Rate for Payer: Aetna Medicare Advantage	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.80
Rate for Payer: Cigna Commercial	$15.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.98
Rate for Payer: Oxford Commercial	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$4.59
Rate for Payer: UnitedHealthcare Commercial	$15.30

ANCHOR JACKSON PRATT *******

Facility

$49.00

Hospital Charge Code	1800184
Hospital Revenue Code	279
Min. Negotiated Rate	$6.37
Max. Negotiated Rate	$24.50
Rate for Payer: Aetna Commercial	$14.70
Rate for Payer: Aetna Medicare Advantage	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.49
Rate for Payer: Cigna Commercial	$24.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.37
Rate for Payer: Oxford Commercial	$24.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.35
Rate for Payer: UnitedHealthcare Commercial	$24.50

ANCHOR JACKSON PRATT *******

Facility

$49.00

Hospital Charge Code	1800184
Hospital Revenue Code	279
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$7.35
Rate for Payer: Qualcare PPO/HMO/WC	$7.35

ANCHOR JUGGERKNOT SNGL LOADED

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270649656
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$562.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

ANCHOR JUGGERKNOT SNGL LOADED

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270649656
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

ANCHOR JUGGERKNOT W/NEEDLE 2.9

Facility

$2,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270675058
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

ANCHOR JUGGERKNOT W/NEEDLE 2.9

Facility

$2,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270675058
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

ANCHOR JUGGERKNOW 2.9 MM

Facility

$2,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270688283
Hospital Revenue Code	278
Min. Negotiated Rate	$435.00
Max. Negotiated Rate	$701.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$701.80
Rate for Payer: Qualcare PPO/HMO/WC	$435.00

ANCHOR JUGGERKNOW 2.9 MM

Facility

$2,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270688283
Hospital Revenue Code	278
Min. Negotiated Rate	$435.00
Max. Negotiated Rate	$1,450.00
Rate for Payer: Aetna Commercial	$870.00
Rate for Payer: Aetna Medicare Advantage	$870.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$739.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$739.50
Rate for Payer: Cigna Commercial	$1,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$701.80
Rate for Payer: Qualcare PPO/HMO/WC	$435.00

ANCHOR KNOTLES 2.6 BLK/BLU

Facility

$2,873.00

Service Code	HCPCS C1713
Hospital Charge Code	270698122
Hospital Revenue Code	278
Min. Negotiated Rate	$430.95
Max. Negotiated Rate	$1,436.50
Rate for Payer: Aetna Commercial	$861.90
Rate for Payer: Aetna Medicare Advantage	$861.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$732.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$732.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$732.62
Rate for Payer: Cigna Commercial	$1,436.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.27
Rate for Payer: Qualcare PPO/HMO/WC	$430.95

ANCHOR KNOTLES 2.6 BLK/BLU

Facility

$2,873.00

Service Code	HCPCS C1713
Hospital Charge Code	270698122
Hospital Revenue Code	278
Min. Negotiated Rate	$430.95
Max. Negotiated Rate	$695.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.27
Rate for Payer: Qualcare PPO/HMO/WC	$430.95

ANCHOR KNOTLES 2.6 FIBERTAK RC

Facility

$2,873.00

Service Code	HCPCS C1713
Hospital Charge Code	270698120
Hospital Revenue Code	278
Min. Negotiated Rate	$430.95
Max. Negotiated Rate	$1,436.50
Rate for Payer: Aetna Commercial	$861.90
Rate for Payer: Aetna Medicare Advantage	$861.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$732.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$732.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$732.62
Rate for Payer: Cigna Commercial	$1,436.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.27
Rate for Payer: Qualcare PPO/HMO/WC	$430.95

ANCHOR KNOTLES 2.6 FIBERTAK RC

Facility

$2,873.00

Service Code	HCPCS C1713
Hospital Charge Code	270698120
Hospital Revenue Code	278
Min. Negotiated Rate	$430.95
Max. Negotiated Rate	$695.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.27
Rate for Payer: Qualcare PPO/HMO/WC	$430.95

ANCHORKNOTLESS2.6FBTK1.7MM

Facility

$2,873.00

Service Code	HCPCS C1713
Hospital Charge Code	270698121
Hospital Revenue Code	278
Min. Negotiated Rate	$430.95
Max. Negotiated Rate	$695.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.27
Rate for Payer: Qualcare PPO/HMO/WC	$430.95

ANCHORKNOTLESS2.6FBTK1.7MM

Facility

$2,873.00

Service Code	HCPCS C1713
Hospital Charge Code	270698121
Hospital Revenue Code	278
Min. Negotiated Rate	$430.95
Max. Negotiated Rate	$1,436.50
Rate for Payer: Aetna Commercial	$861.90
Rate for Payer: Aetna Medicare Advantage	$861.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$732.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$732.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$574.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$732.62
Rate for Payer: Cigna Commercial	$1,436.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$695.27
Rate for Payer: Qualcare PPO/HMO/WC	$430.95

ANCHOR KNOTLESS CINCHLOCK

Facility

$2,430.00

Hospital Charge Code	270670492
Hospital Revenue Code	272
Min. Negotiated Rate	$315.90
Max. Negotiated Rate	$1,215.00
Rate for Payer: Aetna Commercial	$729.00
Rate for Payer: Aetna Medicare Advantage	$729.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$619.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$619.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$619.65
Rate for Payer: Cigna Commercial	$1,215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$315.90
Rate for Payer: Oxford Commercial	$1,215.00
Rate for Payer: Qualcare PPO/HMO/WC	$364.50
Rate for Payer: UnitedHealthcare Commercial	$1,215.00

ANCHOR KNOTLESS CINCHLOCK

Facility

$3,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270677464
Hospital Revenue Code	278
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$756.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

ANCHOR KNOTLESS CINCHLOCK

Facility

$3,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270677464
Hospital Revenue Code	278
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$1,562.50
Rate for Payer: Aetna Commercial	$937.50
Rate for Payer: Aetna Medicare Advantage	$937.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$796.88
Rate for Payer: Cigna Commercial	$1,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

ANCHOR KNOTLESS CINCHLOCK

Facility

$2,430.00

Hospital Charge Code	270670492
Hospital Revenue Code	272
Min. Negotiated Rate	$364.50
Max. Negotiated Rate	$364.50
Rate for Payer: Qualcare PPO/HMO/WC	$364.50

Know your out-of-pocket cost for care.

All Charges