Heights University Hospital

All Charges

Charge

Type

Setting

Price

HUMERAL MINI 10 MMX 83MM

Facility

$14,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270688026
Hospital Revenue Code	278
Min. Negotiated Rate	$2,175.00
Max. Negotiated Rate	$7,250.00
Rate for Payer: Aetna Commercial	$4,350.00
Rate for Payer: Aetna Medicare Advantage	$4,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,697.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,697.50
Rate for Payer: Cigna Commercial	$7,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,509.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,175.00

HUMERAL MINI 10 MMX 83MM

Facility

$14,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270688026
Hospital Revenue Code	278
Min. Negotiated Rate	$2,175.00
Max. Negotiated Rate	$3,509.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,509.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,175.00

HUMERAL NAIL 8X22.5MM

Facility

$13,364.25

Service Code	HCPCS C1713
Hospital Charge Code	270705900
Hospital Revenue Code	278
Min. Negotiated Rate	$2,004.64
Max. Negotiated Rate	$6,682.12
Rate for Payer: Aetna Commercial	$4,009.28
Rate for Payer: Aetna Medicare Advantage	$4,009.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,407.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,407.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,672.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,407.88
Rate for Payer: Cigna Commercial	$6,682.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,234.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,004.64

HUMERAL NAIL 8X22.5MM

Facility

$13,364.25

Service Code	HCPCS C1713
Hospital Charge Code	270705900
Hospital Revenue Code	278
Min. Negotiated Rate	$2,004.64
Max. Negotiated Rate	$3,234.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,672.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,234.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,004.64

HUMERAL NAIL T2 PRX LF 8X240MM

Facility

$14,690.00

Hospital Charge Code	270671182
Hospital Revenue Code	278
Min. Negotiated Rate	$2,203.50
Max. Negotiated Rate	$3,554.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,938.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,554.98
Rate for Payer: Qualcare PPO/HMO/WC	$2,203.50

HUMERAL NAIL T2 PRX LF 8X240MM

Facility

$14,690.00

Hospital Charge Code	270671182
Hospital Revenue Code	278
Min. Negotiated Rate	$2,203.50
Max. Negotiated Rate	$7,345.00
Rate for Payer: Aetna Commercial	$4,407.00
Rate for Payer: Aetna Medicare Advantage	$4,407.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,745.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,745.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,938.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,745.95
Rate for Payer: Cigna Commercial	$7,345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,554.98
Rate for Payer: Qualcare PPO/HMO/WC	$2,203.50

HUMERAL PE HC LINER 30.0MM

Facility

$3,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270699730
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$847.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

HUMERAL PE HC LINER 30.0MM

Facility

$3,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270699730
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,050.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

HUMERAL PROX BDY COMPSRS 48MM

Facility

$22,920.00

Service Code	HCPCS C1776
Hospital Charge Code	270697380
Hospital Revenue Code	278
Min. Negotiated Rate	$3,438.00
Max. Negotiated Rate	$11,460.00
Rate for Payer: Aetna Commercial	$6,876.00
Rate for Payer: Aetna Medicare Advantage	$6,876.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,844.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,844.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,584.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,844.60
Rate for Payer: Cigna Commercial	$11,460.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,546.64
Rate for Payer: Qualcare PPO/HMO/WC	$3,438.00

HUMERAL PROX BDY COMPSRS 48MM

Facility

$22,920.00

Service Code	HCPCS C1776
Hospital Charge Code	270697380
Hospital Revenue Code	278
Min. Negotiated Rate	$3,438.00
Max. Negotiated Rate	$5,546.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,584.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,546.64
Rate for Payer: Qualcare PPO/HMO/WC	$3,438.00

HUMERAL REVERSE HC LINER A 36/

Facility

$3,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270687837
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$847.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

HUMERAL REVERSE HC LINER A 36/

Facility

$3,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270687837
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,050.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

HUMERAL REVRS HC LINER 039X3MM

Facility

$3,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270699528
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,050.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

HUMERAL REVRS HC LINER 039X3MM

Facility

$3,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270699528
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$847.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

HUMERAL REVRS METAPHYSIS 9MM0D

Facility

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270699527
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HUMERAL REVRS METAPHYSIS 9MM0D

Facility

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270699527
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,200.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HUMERAL ROD 8X200MM

Facility

$10,245.00

Hospital Charge Code	270671057
Hospital Revenue Code	278
Min. Negotiated Rate	$1,536.75
Max. Negotiated Rate	$2,479.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,049.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,479.29
Rate for Payer: Qualcare PPO/HMO/WC	$1,536.75

HUMERAL ROD 8X200MM

Facility

$10,245.00

Hospital Charge Code	270671057
Hospital Revenue Code	278
Min. Negotiated Rate	$1,536.75
Max. Negotiated Rate	$5,122.50
Rate for Payer: Aetna Commercial	$3,073.50
Rate for Payer: Aetna Medicare Advantage	$3,073.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,612.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,612.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,049.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,612.47
Rate for Payer: Cigna Commercial	$5,122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,479.29
Rate for Payer: Qualcare PPO/HMO/WC	$1,536.75

HUMERAL RVS HC LINER 32X3MM

Facility

$3,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270696737
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$847.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

HUMERAL RVS HC LINER 32X3MM

Facility

$3,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270696737
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,050.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

HUMERAL RVS HC LINER 32X6MM

Facility

$3,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270696738
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$847.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

HUMERAL RVS HC LINER 32X6MM

Facility

$3,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270696738
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,050.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

HUMERAL RVS METAPHYSIS 0MM 0D

Facility

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270687836
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HUMERAL RVS METAPHYSIS 0MM 0D

Facility

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270687836
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,200.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

HUMERAL STEM #113637

Facility

$23,000.00

Hospital Charge Code	270702536
Hospital Revenue Code	278
Min. Negotiated Rate	$3,450.00
Max. Negotiated Rate	$5,566.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,566.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,450.00

Know your out-of-pocket cost for care.

All Charges