Heights University Hospital

All Charges

Charge

Type

Setting

Price

ANCHOR KNOTLESS PEEK 4.5X 15MM

Facility

$2,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270701594
Hospital Revenue Code	278
Min. Negotiated Rate	$327.00
Max. Negotiated Rate	$527.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$527.56
Rate for Payer: Qualcare PPO/HMO/WC	$327.00

ANCHOR KNOTLESS PEEK 4.5X 15MM

Facility

$2,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270701594
Hospital Revenue Code	278
Min. Negotiated Rate	$327.00
Max. Negotiated Rate	$1,090.00
Rate for Payer: Aetna Commercial	$654.00
Rate for Payer: Aetna Medicare Advantage	$654.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$555.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$555.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$436.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$555.90
Rate for Payer: Cigna Commercial	$1,090.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$527.56
Rate for Payer: Qualcare PPO/HMO/WC	$327.00

ANCHOR KNOTLESS SYSTEM 25 MM

Facility

$1,263.15

Hospital Charge Code	270688623
Hospital Revenue Code	272
Min. Negotiated Rate	$164.21
Max. Negotiated Rate	$631.58
Rate for Payer: Aetna Commercial	$378.94
Rate for Payer: Aetna Medicare Advantage	$378.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.10
Rate for Payer: Cigna Commercial	$631.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.21
Rate for Payer: Oxford Commercial	$631.58
Rate for Payer: Qualcare PPO/HMO/WC	$189.47
Rate for Payer: UnitedHealthcare Commercial	$631.58

ANCHOR KNOTLESS SYSTEM 25 MM

Facility

$1,263.15

Hospital Charge Code	270688623
Hospital Revenue Code	272
Min. Negotiated Rate	$189.47
Max. Negotiated Rate	$189.47
Rate for Payer: Qualcare PPO/HMO/WC	$189.47

ANCHOR LUP BR W/ORTHOCD 210711

Facility

$1,615.00

Hospital Charge Code	270641636
Hospital Revenue Code	278
Min. Negotiated Rate	$242.25
Max. Negotiated Rate	$807.50
Rate for Payer: Aetna Commercial	$484.50
Rate for Payer: Aetna Medicare Advantage	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$411.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$411.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$323.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$411.82
Rate for Payer: Cigna Commercial	$807.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.83
Rate for Payer: Qualcare PPO/HMO/WC	$242.25

ANCHOR LUP BR W/ORTHOCD 210711

Facility

$1,615.00

Hospital Charge Code	270641636
Hospital Revenue Code	278
Min. Negotiated Rate	$242.25
Max. Negotiated Rate	$390.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$323.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.83
Rate for Payer: Qualcare PPO/HMO/WC	$242.25

ANCHOR MCV PREC TACK 820-114

Facility

$4,560.00

Hospital Charge Code	270616240
Hospital Revenue Code	278
Min. Negotiated Rate	$684.00
Max. Negotiated Rate	$1,103.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$912.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,103.52
Rate for Payer: Qualcare PPO/HMO/WC	$684.00

ANCHOR MCV PREC TACK 820-114

Facility

$4,560.00

Hospital Charge Code	270616240
Hospital Revenue Code	278
Min. Negotiated Rate	$684.00
Max. Negotiated Rate	$2,280.00
Rate for Payer: Aetna Commercial	$1,368.00
Rate for Payer: Aetna Medicare Advantage	$1,368.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,162.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,162.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$912.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,162.80
Rate for Payer: Cigna Commercial	$2,280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,103.52
Rate for Payer: Qualcare PPO/HMO/WC	$684.00

ANCHOR MICRO 1.9X 2.4 MM

Facility

$2,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270666931
Hospital Revenue Code	278
Min. Negotiated Rate	$312.75
Max. Negotiated Rate	$1,042.50
Rate for Payer: Aetna Commercial	$625.50
Rate for Payer: Aetna Medicare Advantage	$625.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$531.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$531.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$531.67
Rate for Payer: Cigna Commercial	$1,042.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$504.57
Rate for Payer: Qualcare PPO/HMO/WC	$312.75

ANCHOR MICRO 1.9X 2.4 MM

Facility

$2,085.00

Service Code	HCPCS C1713
Hospital Charge Code	270666931
Hospital Revenue Code	278
Min. Negotiated Rate	$312.75
Max. Negotiated Rate	$504.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$417.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$504.57
Rate for Payer: Qualcare PPO/HMO/WC	$312.75

ANCHOR MICRO QA 3.0 OC

Facility

$2,960.00

Service Code	HCPCS C1713
Hospital Charge Code	270692405
Hospital Revenue Code	278
Min. Negotiated Rate	$444.00
Max. Negotiated Rate	$1,480.00
Rate for Payer: Aetna Commercial	$888.00
Rate for Payer: Aetna Medicare Advantage	$888.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$754.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$754.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$592.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$754.80
Rate for Payer: Cigna Commercial	$1,480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.32
Rate for Payer: Qualcare PPO/HMO/WC	$444.00

ANCHOR MICRO QA 3.0 OC

Facility

$2,960.00

Service Code	HCPCS C1713
Hospital Charge Code	270692405
Hospital Revenue Code	278
Min. Negotiated Rate	$444.00
Max. Negotiated Rate	$716.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$592.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.32
Rate for Payer: Qualcare PPO/HMO/WC	$444.00

ANCHOR MICRO QA 4.0 P3

Facility

$2,960.00

Service Code	HCPCS C1713
Hospital Charge Code	270692406
Hospital Revenue Code	278
Min. Negotiated Rate	$444.00
Max. Negotiated Rate	$1,480.00
Rate for Payer: Aetna Commercial	$888.00
Rate for Payer: Aetna Medicare Advantage	$888.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$754.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$754.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$592.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$754.80
Rate for Payer: Cigna Commercial	$1,480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.32
Rate for Payer: Qualcare PPO/HMO/WC	$444.00

ANCHOR MICRO QA 4.0 P3

Facility

$2,960.00

Service Code	HCPCS C1713
Hospital Charge Code	270692406
Hospital Revenue Code	278
Min. Negotiated Rate	$444.00
Max. Negotiated Rate	$716.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$592.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.32
Rate for Payer: Qualcare PPO/HMO/WC	$444.00

ANCHOR MINI 2-0

Facility

$2,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270688005
Hospital Revenue Code	278
Min. Negotiated Rate	$350.25
Max. Negotiated Rate	$1,167.50
Rate for Payer: Aetna Commercial	$700.50
Rate for Payer: Aetna Medicare Advantage	$700.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$595.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$595.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$467.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$595.42
Rate for Payer: Cigna Commercial	$1,167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.07
Rate for Payer: Qualcare PPO/HMO/WC	$350.25

ANCHOR MINI 2-0

Facility

$2,335.00

Service Code	HCPCS C1713
Hospital Charge Code	270688005
Hospital Revenue Code	278
Min. Negotiated Rate	$350.25
Max. Negotiated Rate	$565.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$467.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$565.07
Rate for Payer: Qualcare PPO/HMO/WC	$350.25

ANCHOR MINI QUICK PLUS 212033

Facility

$1,036.70

Hospital Charge Code	270621870
Hospital Revenue Code	278
Min. Negotiated Rate	$155.50
Max. Negotiated Rate	$250.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.88
Rate for Payer: Qualcare PPO/HMO/WC	$155.50

ANCHOR MINI QUICK PLUS 212033

Facility

$1,036.70

Hospital Charge Code	270621870
Hospital Revenue Code	278
Min. Negotiated Rate	$155.50
Max. Negotiated Rate	$518.35
Rate for Payer: Aetna Commercial	$311.01
Rate for Payer: Aetna Medicare Advantage	$311.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$264.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$264.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$264.36
Rate for Payer: Cigna Commercial	$518.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.88
Rate for Payer: Qualcare PPO/HMO/WC	$155.50

ANCHOR MIS COALITION 12MM

Facility

$3,020.00

Service Code	HCPCS C1889
Hospital Charge Code	270692224
Hospital Revenue Code	278
Min. Negotiated Rate	$453.00
Max. Negotiated Rate	$1,510.00
Rate for Payer: Aetna Commercial	$906.00
Rate for Payer: Aetna Medicare Advantage	$906.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$770.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$770.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$604.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$770.10
Rate for Payer: Cigna Commercial	$1,510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$730.84
Rate for Payer: Qualcare PPO/HMO/WC	$453.00

ANCHOR MIS COALITION 12MM

Facility

$3,020.00

Service Code	HCPCS C1889
Hospital Charge Code	270692224
Hospital Revenue Code	278
Min. Negotiated Rate	$453.00
Max. Negotiated Rate	$730.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$604.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$730.84
Rate for Payer: Qualcare PPO/HMO/WC	$453.00

ANCHOR MTK QUICK SZ 2 212032

Facility

$1,572.00

Hospital Charge Code	270619080
Hospital Revenue Code	278
Min. Negotiated Rate	$235.80
Max. Negotiated Rate	$786.00
Rate for Payer: Aetna Commercial	$471.60
Rate for Payer: Aetna Medicare Advantage	$471.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$314.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.86
Rate for Payer: Cigna Commercial	$786.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$380.42
Rate for Payer: Qualcare PPO/HMO/WC	$235.80

ANCHOR MTK QUICK SZ 2 212032

Facility

$1,572.00

Hospital Charge Code	270619080
Hospital Revenue Code	278
Min. Negotiated Rate	$235.80
Max. Negotiated Rate	$380.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$314.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$380.42
Rate for Payer: Qualcare PPO/HMO/WC	$235.80

ANCHOR MULTIFIX ULTRA 6.5MM

Facility

$5,820.00

Service Code	HCPCS C1713
Hospital Charge Code	270690967
Hospital Revenue Code	278
Min. Negotiated Rate	$873.00
Max. Negotiated Rate	$1,408.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,164.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,408.44
Rate for Payer: Qualcare PPO/HMO/WC	$873.00

ANCHOR MULTIFIX ULTRA 6.5MM

Facility

$5,820.00

Service Code	HCPCS C1713
Hospital Charge Code	270690967
Hospital Revenue Code	278
Min. Negotiated Rate	$873.00
Max. Negotiated Rate	$2,910.00
Rate for Payer: Aetna Commercial	$1,746.00
Rate for Payer: Aetna Medicare Advantage	$1,746.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,484.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,484.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,484.10
Rate for Payer: Cigna Commercial	$2,910.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,408.44
Rate for Payer: Qualcare PPO/HMO/WC	$873.00

ANCHOR OMEGA PEEK KNTLS 4.75MM

Facility

$4,148.35

Service Code	HCPCS C1713
Hospital Charge Code	270700784
Hospital Revenue Code	278
Min. Negotiated Rate	$622.25
Max. Negotiated Rate	$2,074.18
Rate for Payer: Aetna Commercial	$1,244.51
Rate for Payer: Aetna Medicare Advantage	$1,244.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,057.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,057.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$829.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,057.83
Rate for Payer: Cigna Commercial	$2,074.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,003.90
Rate for Payer: Qualcare PPO/HMO/WC	$622.25

Know your out-of-pocket cost for care.

All Charges