Heights University Hospital

All Charges

Charge

Type

Setting

Price

IMPLANT SMART TOE ST 0-16

Facility

$1,750.00

Hospital Charge Code	270639822
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$525.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

IMPLANT SOFT TISSUE RESTORE

Facility

$11,259.25

Service Code	HCPCS C1763
Hospital Charge Code	270633427
Hospital Revenue Code	278
Min. Negotiated Rate	$1,688.89
Max. Negotiated Rate	$2,724.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,251.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,724.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,688.89

IMPLANT SOFT TISSUE RESTORE

Facility

$11,259.25

Service Code	HCPCS C1763
Hospital Charge Code	270633427
Hospital Revenue Code	278
Min. Negotiated Rate	$1,688.89
Max. Negotiated Rate	$5,629.62
Rate for Payer: Aetna Commercial	$3,377.78
Rate for Payer: Aetna Medicare Advantage	$3,377.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,871.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,871.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,251.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,871.11
Rate for Payer: Cigna Commercial	$5,629.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,724.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,688.89

IMPLANT SYS HIP LABRAL RECON

Facility

$9,835.00

Service Code	HCPCS C1713
Hospital Charge Code	270691620
Hospital Revenue Code	278
Min. Negotiated Rate	$1,475.25
Max. Negotiated Rate	$2,380.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,967.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,380.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,475.25

IMPLANT SYS HIP LABRAL RECON

Facility

$9,835.00

Service Code	HCPCS C1713
Hospital Charge Code	270691620
Hospital Revenue Code	278
Min. Negotiated Rate	$1,475.25
Max. Negotiated Rate	$4,917.50
Rate for Payer: Aetna Commercial	$2,950.50
Rate for Payer: Aetna Medicare Advantage	$2,950.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,507.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,507.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,967.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,507.93
Rate for Payer: Cigna Commercial	$4,917.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,380.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,475.25

IMPLANT SYS KIT PROX TENODESIS

Facility

$3,375.00

Service Code	HCPCS C1776
Hospital Charge Code	270673597
Hospital Revenue Code	278
Min. Negotiated Rate	$506.25
Max. Negotiated Rate	$1,687.50
Rate for Payer: Aetna Commercial	$1,012.50
Rate for Payer: Aetna Medicare Advantage	$1,012.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$860.62
Rate for Payer: Cigna Commercial	$1,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$816.75
Rate for Payer: Qualcare PPO/HMO/WC	$506.25

IMPLANT SYS KIT PROX TENODESIS

Facility

$3,375.00

Service Code	HCPCS C1776
Hospital Charge Code	270673597
Hospital Revenue Code	278
Min. Negotiated Rate	$506.25
Max. Negotiated Rate	$816.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$816.75
Rate for Payer: Qualcare PPO/HMO/WC	$506.25

IMPLANT SYS MPFL BIO-COMPOSITE

Facility

$7,435.00

Service Code	HCPCS C1713
Hospital Charge Code	270669427
Hospital Revenue Code	278
Min. Negotiated Rate	$1,115.25
Max. Negotiated Rate	$3,717.50
Rate for Payer: Aetna Commercial	$2,230.50
Rate for Payer: Aetna Medicare Advantage	$2,230.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,895.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,895.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,487.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,895.92
Rate for Payer: Cigna Commercial	$3,717.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,799.27
Rate for Payer: Qualcare PPO/HMO/WC	$1,115.25

IMPLANT SYS MPFL BIO-COMPOSITE

Facility

$7,435.00

Service Code	HCPCS C1713
Hospital Charge Code	270669427
Hospital Revenue Code	278
Min. Negotiated Rate	$1,115.25
Max. Negotiated Rate	$1,799.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,487.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,799.27
Rate for Payer: Qualcare PPO/HMO/WC	$1,115.25

IMPLANT SYS MPFL W/TIGHTROPE

Facility

$8,435.00

Service Code	HCPCS C1713
Hospital Charge Code	270675206
Hospital Revenue Code	278
Min. Negotiated Rate	$1,265.25
Max. Negotiated Rate	$4,217.50
Rate for Payer: Aetna Commercial	$2,530.50
Rate for Payer: Aetna Medicare Advantage	$2,530.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,150.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,150.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,687.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,150.93
Rate for Payer: Cigna Commercial	$4,217.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,041.27
Rate for Payer: Qualcare PPO/HMO/WC	$1,265.25

IMPLANT SYS MPFL W/TIGHTROPE

Facility

$8,435.00

Service Code	HCPCS C1713
Hospital Charge Code	270675206
Hospital Revenue Code	278
Min. Negotiated Rate	$1,265.25
Max. Negotiated Rate	$2,041.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,687.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,041.27
Rate for Payer: Qualcare PPO/HMO/WC	$1,265.25

IMPLANT SYS SPDBRG 4.75x19.1M

Facility

$7,025.00

Hospital Charge Code	270675507
Hospital Revenue Code	272
Min. Negotiated Rate	$913.25
Max. Negotiated Rate	$3,512.50
Rate for Payer: Aetna Commercial	$2,107.50
Rate for Payer: Aetna Medicare Advantage	$2,107.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,791.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,791.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,791.38
Rate for Payer: Cigna Commercial	$3,512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$913.25
Rate for Payer: Oxford Commercial	$3,512.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,053.75
Rate for Payer: UnitedHealthcare Commercial	$3,512.50

IMPLANT SYS SPDBRG 4.75x19.1M

Facility

$7,025.00

Hospital Charge Code	270675507
Hospital Revenue Code	272
Min. Negotiated Rate	$1,053.75
Max. Negotiated Rate	$1,053.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,053.75

IMPLANT SYS SPDBRG 4.75x19.1MM

Facility

$8,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270675255
Hospital Revenue Code	278
Min. Negotiated Rate	$1,305.00
Max. Negotiated Rate	$2,105.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,105.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,305.00

IMPLANT SYS SPDBRG 4.75x19.1MM

Facility

$8,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270675255
Hospital Revenue Code	278
Min. Negotiated Rate	$1,305.00
Max. Negotiated Rate	$4,350.00
Rate for Payer: Aetna Commercial	$2,610.00
Rate for Payer: Aetna Medicare Advantage	$2,610.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,218.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,218.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,740.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,218.50
Rate for Payer: Cigna Commercial	$4,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,105.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,305.00

IMPLANT SYSTEM ACHILLES SPDBRG

Facility

$4,850.00

Hospital Charge Code	270675708
Hospital Revenue Code	272
Min. Negotiated Rate	$727.50
Max. Negotiated Rate	$727.50
Rate for Payer: Qualcare PPO/HMO/WC	$727.50

IMPLANT SYSTEM ACHILLES SPDBRG

Facility

$4,850.00

Hospital Charge Code	270675708
Hospital Revenue Code	272
Min. Negotiated Rate	$630.50
Max. Negotiated Rate	$2,425.00
Rate for Payer: Aetna Commercial	$1,455.00
Rate for Payer: Aetna Medicare Advantage	$1,455.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,236.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,236.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,236.75
Rate for Payer: Cigna Commercial	$2,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$630.50
Rate for Payer: Oxford Commercial	$2,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$727.50
Rate for Payer: UnitedHealthcare Commercial	$2,425.00

IMPLANT SYSTEM FIBERTAG IIFOR

Facility

$6,743.75

Service Code	HCPCS C1713
Hospital Charge Code	270704450
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.56
Max. Negotiated Rate	$1,631.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.99
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.56

IMPLANT SYSTEM FIBERTAG IIFOR

Facility

$6,743.75

Service Code	HCPCS C1713
Hospital Charge Code	270704450
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.56
Max. Negotiated Rate	$3,371.88
Rate for Payer: Aetna Commercial	$2,023.12
Rate for Payer: Aetna Medicare Advantage	$2,023.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,719.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,719.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,719.66
Rate for Payer: Cigna Commercial	$3,371.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.99
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.56

IMPLANT SYSTEM LAT ANKLE RECON

Facility

$8,750.00

Hospital Charge Code	270684370
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$4,375.00
Rate for Payer: Aetna Commercial	$2,625.00
Rate for Payer: Aetna Medicare Advantage	$2,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.25
Rate for Payer: Cigna Commercial	$4,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

IMPLANT SYSTEM LAT ANKLE RECON

Facility

$8,750.00

Hospital Charge Code	270684370
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$2,117.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

IMPLANT SYSTEM PARS SUTURE

Facility

$3,750.00

Hospital Charge Code	270682350
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,125.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

IMPLANT SYSTEM PARS SUTURE

Facility

$3,750.00

Hospital Charge Code	270682350
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

IMPLANT SYSTEM SUTURELOC

Facility

$10,300.00

Hospital Charge Code	270702109
Hospital Revenue Code	278
Min. Negotiated Rate	$1,545.00
Max. Negotiated Rate	$5,150.00
Rate for Payer: Aetna Commercial	$3,090.00
Rate for Payer: Aetna Medicare Advantage	$3,090.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,626.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,626.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,626.50
Rate for Payer: Cigna Commercial	$5,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,492.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,545.00

IMPLANT SYSTEM SUTURELOC

Facility

$10,300.00

Hospital Charge Code	270702109
Hospital Revenue Code	278
Min. Negotiated Rate	$1,545.00
Max. Negotiated Rate	$2,492.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,060.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,492.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,545.00

Know your out-of-pocket cost for care.

All Charges