Heights University Hospital

All Charges

Charge

Type

Setting

Price

HMRL BEARING 36MM STD VITE

Facility

$11,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270688615
Hospital Revenue Code	278
Min. Negotiated Rate	$1,725.00
Max. Negotiated Rate	$5,750.00
Rate for Payer: Aetna Commercial	$3,450.00
Rate for Payer: Aetna Medicare Advantage	$3,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,932.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,932.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,932.50
Rate for Payer: Cigna Commercial	$5,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,783.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,725.00

HMRL BEARING 36MM STD VITE

Facility

$11,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270688615
Hospital Revenue Code	278
Min. Negotiated Rate	$1,725.00
Max. Negotiated Rate	$2,783.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,783.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,725.00

HMRL TRAY STD STD

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270688614
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

HMRL TRAY STD STD

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270688614
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

HMRL TRAYT STD +5 MM

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690728
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

HMRL TRAYT STD +5 MM

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690728
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

HMS/5ML

Facility

$61.00

Hospital Charge Code	60634566
Hospital Revenue Code	250
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

HMS/5ML

Facility

$61.00

Hospital Charge Code	60634566
Hospital Revenue Code	250
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$30.50
Rate for Payer: Aetna Commercial	$18.30
Rate for Payer: Aetna Medicare Advantage	$18.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.55
Rate for Payer: Cigna Commercial	$30.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.93
Rate for Payer: Oxford Commercial	$30.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.15
Rate for Payer: UnitedHealthcare Commercial	$30.50

HNK1 (CD57) I

Facility

$340.00

Service Code	HCPCS 86356
Hospital Charge Code	3038511A
Hospital Revenue Code	300
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$51.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

HNK1 (CD57) I

Facility

$340.00

Service Code	HCPCS 86356
Hospital Charge Code	3038511A
Hospital Revenue Code	300
Min. Negotiated Rate	$13.39
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$86.77
Rate for Payer: Aetna Medicare Advantage	$26.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.12
Rate for Payer: Cigna Commercial	$26.78
Rate for Payer: Cigna Medicare Advantage	$13.39
Rate for Payer: Clover Medicare Advantage	$25.44
Rate for Payer: EmblemHealth Commercial	$80.34
Rate for Payer: Humana Medicare Advantage	$27.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.20
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.78
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$28.39
Rate for Payer: Wellcare Medicare Advantage	$26.78

HNK1 (CD57) II

Facility

$259.25

Service Code	HCPCS 86357
Hospital Charge Code	3038511B
Hospital Revenue Code	300
Min. Negotiated Rate	$18.86
Max. Negotiated Rate	$138.24
Rate for Payer: Aetna Commercial	$122.25
Rate for Payer: Aetna Medicare Advantage	$37.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.24
Rate for Payer: Cigna Commercial	$37.73
Rate for Payer: Cigna Medicare Advantage	$18.86
Rate for Payer: Clover Medicare Advantage	$35.84
Rate for Payer: EmblemHealth Commercial	$113.19
Rate for Payer: Humana Medicare Advantage	$38.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.89
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$37.73
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$39.99
Rate for Payer: Wellcare Medicare Advantage	$37.73

HNK1 (CD57) II

Facility

$259.25

Service Code	HCPCS 86357
Hospital Charge Code	3038511B
Hospital Revenue Code	300
Min. Negotiated Rate	$38.89
Max. Negotiated Rate	$38.89
Rate for Payer: Qualcare PPO/HMO/WC	$38.89

HOFFMAN FOOT ARCH LRF 180MM

Facility

$11,332.20

Service Code	HCPCS C1713
Hospital Charge Code	270700234
Hospital Revenue Code	278
Min. Negotiated Rate	$1,699.83
Max. Negotiated Rate	$2,742.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,266.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,742.39
Rate for Payer: Qualcare PPO/HMO/WC	$1,699.83

HOFFMAN FOOT ARCH LRF 180MM

Facility

$11,332.20

Service Code	HCPCS C1713
Hospital Charge Code	270700234
Hospital Revenue Code	278
Min. Negotiated Rate	$1,699.83
Max. Negotiated Rate	$5,666.10
Rate for Payer: Aetna Commercial	$3,399.66
Rate for Payer: Aetna Medicare Advantage	$3,399.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,889.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,889.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,266.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,889.71
Rate for Payer: Cigna Commercial	$5,666.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,742.39
Rate for Payer: Qualcare PPO/HMO/WC	$1,699.83

HOFFMAN FOOT RING LNG LRF180MM

Facility

$13,034.05

Service Code	HCPCS C1713
Hospital Charge Code	270700232
Hospital Revenue Code	278
Min. Negotiated Rate	$1,955.11
Max. Negotiated Rate	$3,154.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,606.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,154.24
Rate for Payer: Qualcare PPO/HMO/WC	$1,955.11

HOFFMAN FOOT RING LNG LRF180MM

Facility

$13,034.05

Service Code	HCPCS C1713
Hospital Charge Code	270700232
Hospital Revenue Code	278
Min. Negotiated Rate	$1,955.11
Max. Negotiated Rate	$6,517.02
Rate for Payer: Aetna Commercial	$3,910.22
Rate for Payer: Aetna Medicare Advantage	$3,910.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,323.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,323.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,606.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,323.68
Rate for Payer: Cigna Commercial	$6,517.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,154.24
Rate for Payer: Qualcare PPO/HMO/WC	$1,955.11

HOFFMAN FOOT RING SH LRF 180MM

Facility

$13,427.80

Service Code	HCPCS C1713
Hospital Charge Code	270700233
Hospital Revenue Code	278
Min. Negotiated Rate	$2,014.17
Max. Negotiated Rate	$3,249.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,685.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,249.53
Rate for Payer: Qualcare PPO/HMO/WC	$2,014.17

HOFFMAN FOOT RING SH LRF 180MM

Facility

$13,427.80

Service Code	HCPCS C1713
Hospital Charge Code	270700233
Hospital Revenue Code	278
Min. Negotiated Rate	$2,014.17
Max. Negotiated Rate	$6,713.90
Rate for Payer: Aetna Commercial	$4,028.34
Rate for Payer: Aetna Medicare Advantage	$4,028.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,424.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,424.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,685.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,424.09
Rate for Payer: Cigna Commercial	$6,713.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,249.53
Rate for Payer: Qualcare PPO/HMO/WC	$2,014.17

HOFFMAN FULL RING LRF 180MM

Facility

$10,201.00

Service Code	HCPCS C1713
Hospital Charge Code	270700229
Hospital Revenue Code	278
Min. Negotiated Rate	$1,530.15
Max. Negotiated Rate	$2,468.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,040.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,468.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,530.15

HOFFMAN FULL RING LRF 180MM

Facility

$10,201.00

Service Code	HCPCS C1713
Hospital Charge Code	270700229
Hospital Revenue Code	278
Min. Negotiated Rate	$1,530.15
Max. Negotiated Rate	$5,100.50
Rate for Payer: Aetna Commercial	$3,060.30
Rate for Payer: Aetna Medicare Advantage	$3,060.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,601.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,601.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,040.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,601.26
Rate for Payer: Cigna Commercial	$5,100.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,468.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,530.15

HOFFMAN HEXAPO STRUTXS89-109MM

Facility

$15,730.75

Service Code	HCPCS C1713
Hospital Charge Code	270700235
Hospital Revenue Code	278
Min. Negotiated Rate	$2,359.61
Max. Negotiated Rate	$3,806.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,146.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,806.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,359.61

HOFFMAN HEXAPO STRUTXS89-109MM

Facility

$15,730.75

Service Code	HCPCS C1713
Hospital Charge Code	270700235
Hospital Revenue Code	278
Min. Negotiated Rate	$2,359.61
Max. Negotiated Rate	$7,865.38
Rate for Payer: Aetna Commercial	$4,719.23
Rate for Payer: Aetna Medicare Advantage	$4,719.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,011.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,011.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,146.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,011.34
Rate for Payer: Cigna Commercial	$7,865.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,806.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,359.61

HOFFMAN HINGE BOLTLNGLRF6X16MM

Facility

$595.90

Service Code	HCPCS C1713
Hospital Charge Code	270700231
Hospital Revenue Code	278
Min. Negotiated Rate	$89.39
Max. Negotiated Rate	$297.95
Rate for Payer: Aetna Commercial	$178.77
Rate for Payer: Aetna Medicare Advantage	$178.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.95
Rate for Payer: Cigna Commercial	$297.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.21
Rate for Payer: Qualcare PPO/HMO/WC	$89.39

HOFFMAN HINGE BOLTLNGLRF6X16MM

Facility

$595.90

Service Code	HCPCS C1713
Hospital Charge Code	270700231
Hospital Revenue Code	278
Min. Negotiated Rate	$89.39
Max. Negotiated Rate	$144.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.21
Rate for Payer: Qualcare PPO/HMO/WC	$89.39

HOFFMAN STATIC STRUTMEDLRF40MM

Facility

$474.70

Service Code	HCPCS C1713
Hospital Charge Code	270700227
Hospital Revenue Code	278
Min. Negotiated Rate	$71.20
Max. Negotiated Rate	$114.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.88
Rate for Payer: Qualcare PPO/HMO/WC	$71.20

Know your out-of-pocket cost for care.

All Charges