Heights University Hospital

All Charges

Charge

Type

Setting

Price

KIT FEMORAL PREP SZ 5 CR

Facility

$2,340.00

Hospital Charge Code	270698152
Hospital Revenue Code	272
Min. Negotiated Rate	$351.00
Max. Negotiated Rate	$351.00
Rate for Payer: Qualcare PPO/HMO/WC	$351.00

KIT FEMORAL PREP SZ 5 CR

Facility

$2,340.00

Hospital Charge Code	270698152
Hospital Revenue Code	272
Min. Negotiated Rate	$304.20
Max. Negotiated Rate	$1,170.00
Rate for Payer: Aetna Commercial	$702.00
Rate for Payer: Aetna Medicare Advantage	$702.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$596.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$596.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$596.70
Rate for Payer: Cigna Commercial	$1,170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$304.20
Rate for Payer: Oxford Commercial	$1,170.00
Rate for Payer: Qualcare PPO/HMO/WC	$351.00
Rate for Payer: UnitedHealthcare Commercial	$1,170.00

KIT FEMORAL/TIBIAL CHECKPT

Facility

$252.50

Hospital Charge Code	270668482
Hospital Revenue Code	272
Min. Negotiated Rate	$37.88
Max. Negotiated Rate	$37.88
Rate for Payer: Qualcare PPO/HMO/WC	$37.88

KIT FEMORAL/TIBIAL CHECKPT

Facility

$252.50

Hospital Charge Code	270668482
Hospital Revenue Code	272
Min. Negotiated Rate	$32.83
Max. Negotiated Rate	$126.25
Rate for Payer: Aetna Commercial	$75.75
Rate for Payer: Aetna Medicare Advantage	$75.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.39
Rate for Payer: Cigna Commercial	$126.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.83
Rate for Payer: Oxford Commercial	$126.25
Rate for Payer: Qualcare PPO/HMO/WC	$37.88
Rate for Payer: UnitedHealthcare Commercial	$126.25

KIT FHL IMPLANT 6.25 MM SUTURE

Facility

$1,245.83

Hospital Charge Code	270692400
Hospital Revenue Code	272
Min. Negotiated Rate	$161.96
Max. Negotiated Rate	$622.91
Rate for Payer: Aetna Commercial	$373.75
Rate for Payer: Aetna Medicare Advantage	$373.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$317.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$317.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$317.69
Rate for Payer: Cigna Commercial	$622.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.96
Rate for Payer: Oxford Commercial	$622.91
Rate for Payer: Qualcare PPO/HMO/WC	$186.87
Rate for Payer: UnitedHealthcare Commercial	$622.91

KIT FHL IMPLANT 6.25 MM SUTURE

Facility

$1,245.83

Hospital Charge Code	270692400
Hospital Revenue Code	272
Min. Negotiated Rate	$186.87
Max. Negotiated Rate	$186.87
Rate for Payer: Qualcare PPO/HMO/WC	$186.87

KIT FHL IMPLANT SYSTEM 7.0MM

Facility

$1,245.83

Hospital Charge Code	270692401
Hospital Revenue Code	272
Min. Negotiated Rate	$161.96
Max. Negotiated Rate	$622.91
Rate for Payer: Aetna Commercial	$373.75
Rate for Payer: Aetna Medicare Advantage	$373.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$317.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$317.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$317.69
Rate for Payer: Cigna Commercial	$622.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.96
Rate for Payer: Oxford Commercial	$622.91
Rate for Payer: Qualcare PPO/HMO/WC	$186.87
Rate for Payer: UnitedHealthcare Commercial	$622.91

KIT FHL IMPLANT SYSTEM 7.0MM

Facility

$1,245.83

Hospital Charge Code	270692401
Hospital Revenue Code	272
Min. Negotiated Rate	$186.87
Max. Negotiated Rate	$186.87
Rate for Payer: Qualcare PPO/HMO/WC	$186.87

KIT FIBRIJET RATIO APPL SA4400

Facility

$158.75

Hospital Charge Code	270639733
Hospital Revenue Code	272
Min. Negotiated Rate	$23.81
Max. Negotiated Rate	$23.81
Rate for Payer: Qualcare PPO/HMO/WC	$23.81

KIT FIBRIJET RATIO APPL SA4400

Facility

$158.75

Hospital Charge Code	270639733
Hospital Revenue Code	272
Min. Negotiated Rate	$20.64
Max. Negotiated Rate	$79.38
Rate for Payer: Aetna Commercial	$47.62
Rate for Payer: Aetna Medicare Advantage	$47.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.48
Rate for Payer: Cigna Commercial	$79.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.64
Rate for Payer: Oxford Commercial	$79.38
Rate for Payer: Qualcare PPO/HMO/WC	$23.81
Rate for Payer: UnitedHealthcare Commercial	$79.38

KIT FIRST FRACTURE LNG BLIS-PK

Facility

$15,750.00

Hospital Charge Code	270670663
Hospital Revenue Code	272
Min. Negotiated Rate	$2,047.50
Max. Negotiated Rate	$7,875.00
Rate for Payer: Aetna Commercial	$4,725.00
Rate for Payer: Aetna Medicare Advantage	$4,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,016.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,016.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,016.25
Rate for Payer: Cigna Commercial	$7,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,047.50
Rate for Payer: Oxford Commercial	$7,875.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,362.50
Rate for Payer: UnitedHealthcare Commercial	$7,875.00

KIT FIRST FRACTURE LNG BLIS-PK

Facility

$15,750.00

Hospital Charge Code	270670663
Hospital Revenue Code	272
Min. Negotiated Rate	$2,362.50
Max. Negotiated Rate	$2,362.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,362.50

KIT FIRST FRACTURE SH BLIS-PK

Facility

$15,750.00

Hospital Charge Code	270670664
Hospital Revenue Code	272
Min. Negotiated Rate	$2,362.50
Max. Negotiated Rate	$2,362.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,362.50

KIT FIRST FRACTURE SH BLIS-PK

Facility

$15,750.00

Hospital Charge Code	270670664
Hospital Revenue Code	272
Min. Negotiated Rate	$2,047.50
Max. Negotiated Rate	$7,875.00
Rate for Payer: Aetna Commercial	$4,725.00
Rate for Payer: Aetna Medicare Advantage	$4,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,016.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,016.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,016.25
Rate for Payer: Cigna Commercial	$7,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,047.50
Rate for Payer: Oxford Commercial	$7,875.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,362.50
Rate for Payer: UnitedHealthcare Commercial	$7,875.00

KIT FIRSTPASS PASSER STR

Facility

$5,830.00

Hospital Charge Code	270681093
Hospital Revenue Code	272
Min. Negotiated Rate	$757.90
Max. Negotiated Rate	$2,915.00
Rate for Payer: Aetna Commercial	$1,749.00
Rate for Payer: Aetna Medicare Advantage	$1,749.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,486.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,486.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,486.65
Rate for Payer: Cigna Commercial	$2,915.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$757.90
Rate for Payer: Oxford Commercial	$2,915.00
Rate for Payer: Qualcare PPO/HMO/WC	$874.50
Rate for Payer: UnitedHealthcare Commercial	$2,915.00

KIT FIRSTPASS PASSER STR

Facility

$5,830.00

Hospital Charge Code	270681093
Hospital Revenue Code	272
Min. Negotiated Rate	$874.50
Max. Negotiated Rate	$874.50
Rate for Payer: Qualcare PPO/HMO/WC	$874.50

KIT FIXATION FUSEFORCE 18X16MM

Facility

$6,975.00

Hospital Charge Code	27069233
Hospital Revenue Code	278
Min. Negotiated Rate	$1,046.25
Max. Negotiated Rate	$3,487.50
Rate for Payer: Aetna Commercial	$2,092.50
Rate for Payer: Aetna Medicare Advantage	$2,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,778.62
Rate for Payer: Cigna Commercial	$3,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,687.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25

KIT FIXATION FUSEFORCE 18X16MM

Facility

$6,975.00

Hospital Charge Code	27069233
Hospital Revenue Code	278
Min. Negotiated Rate	$1,046.25
Max. Negotiated Rate	$1,687.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,687.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25

KIT FIX SALUTE SHORT DISP 3043

Facility

$868.00

Hospital Charge Code	270632785
Hospital Revenue Code	272
Min. Negotiated Rate	$130.20
Max. Negotiated Rate	$130.20
Rate for Payer: Qualcare PPO/HMO/WC	$130.20

KIT FIX SALUTE SHORT DISP 3043

Facility

$868.00

Hospital Charge Code	270632785
Hospital Revenue Code	272
Min. Negotiated Rate	$112.84
Max. Negotiated Rate	$434.00
Rate for Payer: Aetna Commercial	$260.40
Rate for Payer: Aetna Medicare Advantage	$260.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.34
Rate for Payer: Cigna Commercial	$434.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.84
Rate for Payer: Oxford Commercial	$434.00
Rate for Payer: Qualcare PPO/HMO/WC	$130.20
Rate for Payer: UnitedHealthcare Commercial	$434.00

KIT FLEXIFLO INVERTA PEG 20FR

Facility

$1,124.85

Hospital Charge Code	270600963
Hospital Revenue Code	270
Min. Negotiated Rate	$146.23
Max. Negotiated Rate	$562.42
Rate for Payer: Aetna Commercial	$337.45
Rate for Payer: Aetna Medicare Advantage	$337.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.84
Rate for Payer: Cigna Commercial	$562.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.23
Rate for Payer: Oxford Commercial	$562.42
Rate for Payer: Qualcare PPO/HMO/WC	$168.73
Rate for Payer: UnitedHealthcare Commercial	$562.42

KIT FLEXIFLO INVERTA PEG 20FR

Facility

$1,124.85

Hospital Charge Code	270600963
Hospital Revenue Code	270
Min. Negotiated Rate	$168.73
Max. Negotiated Rate	$168.73
Rate for Payer: Qualcare PPO/HMO/WC	$168.73

KIT FLIPCUTTER II T ROPE RT IM

Facility

$3,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270682534
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

KIT FLIPCUTTER II T ROPE RT IM

Facility

$3,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270682534
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

KIT FOR WILSON FRAME 5326

Facility

$143.50

Hospital Charge Code	270629122
Hospital Revenue Code	272
Min. Negotiated Rate	$18.66
Max. Negotiated Rate	$71.75
Rate for Payer: Aetna Commercial	$43.05
Rate for Payer: Aetna Medicare Advantage	$43.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.59
Rate for Payer: Cigna Commercial	$71.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.66
Rate for Payer: Oxford Commercial	$71.75
Rate for Payer: Qualcare PPO/HMO/WC	$21.52
Rate for Payer: UnitedHealthcare Commercial	$71.75

Know your out-of-pocket cost for care.

All Charges