Heights University Hospital

All Charges

Charge

Type

Setting

Price

KNEE SUPPORT LG

Facility

$48.90

Hospital Charge Code	270649585
Hospital Revenue Code	272
Min. Negotiated Rate	$7.33
Max. Negotiated Rate	$7.33
Rate for Payer: Qualcare PPO/HMO/WC	$7.33

KNEE SUPPORT LG

Facility

$48.90

Hospital Charge Code	270649585
Hospital Revenue Code	272
Min. Negotiated Rate	$6.36
Max. Negotiated Rate	$24.45
Rate for Payer: Aetna Commercial	$14.67
Rate for Payer: Aetna Medicare Advantage	$14.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.47
Rate for Payer: Cigna Commercial	$24.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.36
Rate for Payer: Oxford Commercial	$24.45
Rate for Payer: Qualcare PPO/HMO/WC	$7.33
Rate for Payer: UnitedHealthcare Commercial	$24.45

KNEE SUPPORT MED

Facility

$49.25

Hospital Charge Code	270649586
Hospital Revenue Code	272
Min. Negotiated Rate	$6.40
Max. Negotiated Rate	$24.62
Rate for Payer: Aetna Commercial	$14.78
Rate for Payer: Aetna Medicare Advantage	$14.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.56
Rate for Payer: Cigna Commercial	$24.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.40
Rate for Payer: Oxford Commercial	$24.62
Rate for Payer: Qualcare PPO/HMO/WC	$7.39
Rate for Payer: UnitedHealthcare Commercial	$24.62

KNEE SUPPORT MED

Facility

$49.25

Hospital Charge Code	270649586
Hospital Revenue Code	272
Min. Negotiated Rate	$7.39
Max. Negotiated Rate	$7.39
Rate for Payer: Qualcare PPO/HMO/WC	$7.39

KNEE SUPPORT SMALL

Facility

$28.70

Hospital Charge Code	270649587
Hospital Revenue Code	272
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$14.35
Rate for Payer: Aetna Commercial	$8.61
Rate for Payer: Aetna Medicare Advantage	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.32
Rate for Payer: Cigna Commercial	$14.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.73
Rate for Payer: Oxford Commercial	$14.35
Rate for Payer: Qualcare PPO/HMO/WC	$4.30
Rate for Payer: UnitedHealthcare Commercial	$14.35

KNEE SUPPORT SMALL

Facility

$28.70

Hospital Charge Code	270649587
Hospital Revenue Code	272
Min. Negotiated Rate	$4.30
Max. Negotiated Rate	$4.30
Rate for Payer: Qualcare PPO/HMO/WC	$4.30

KNEE SUPPORT XL

Facility

$50.90

Hospital Charge Code	270649588
Hospital Revenue Code	272
Min. Negotiated Rate	$6.62
Max. Negotiated Rate	$25.45
Rate for Payer: Aetna Commercial	$15.27
Rate for Payer: Aetna Medicare Advantage	$15.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.98
Rate for Payer: Cigna Commercial	$25.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.62
Rate for Payer: Oxford Commercial	$25.45
Rate for Payer: Qualcare PPO/HMO/WC	$7.63
Rate for Payer: UnitedHealthcare Commercial	$25.45

KNEE SUPPORT XL

Facility

$50.90

Hospital Charge Code	270649588
Hospital Revenue Code	272
Min. Negotiated Rate	$7.63
Max. Negotiated Rate	$7.63
Rate for Payer: Qualcare PPO/HMO/WC	$7.63

KNEE SYSTEM SOMBRERO PATELLA

Facility

$1,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270675246
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$450.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

KNEE SYSTEM SOMBRERO PATELLA

Facility

$1,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270675246
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

KNEE USER KIT FOR GPS STATION

Facility

$1,750.00

Hospital Charge Code	270673239
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

KNEE USER KIT FOR GPS STATION

Facility

$1,750.00

Hospital Charge Code	270673239
Hospital Revenue Code	272
Min. Negotiated Rate	$227.50
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) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.50
Rate for Payer: Oxford Commercial	$875.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$875.00

KNEE ZIM POST GR 10 59964010

Facility

$4,672.50

Hospital Charge Code	270623447
Hospital Revenue Code	272
Min. Negotiated Rate	$607.42
Max. Negotiated Rate	$2,336.25
Rate for Payer: Aetna Commercial	$1,401.75
Rate for Payer: Aetna Medicare Advantage	$1,401.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,191.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,191.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,191.49
Rate for Payer: Cigna Commercial	$2,336.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$607.42
Rate for Payer: Oxford Commercial	$2,336.25
Rate for Payer: Qualcare PPO/HMO/WC	$700.88
Rate for Payer: UnitedHealthcare Commercial	$2,336.25

KNEE ZIM POST GR 10 59964010

Facility

$4,672.50

Hospital Charge Code	270623447
Hospital Revenue Code	272
Min. Negotiated Rate	$700.88
Max. Negotiated Rate	$700.88
Rate for Payer: Qualcare PPO/HMO/WC	$700.88

KNEE ZIM TIB ART 1.8 57884008

Facility

$1,848.00

Hospital Charge Code	270626738
Hospital Revenue Code	272
Min. Negotiated Rate	$240.24
Max. Negotiated Rate	$924.00
Rate for Payer: Aetna Commercial	$554.40
Rate for Payer: Aetna Medicare Advantage	$554.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$471.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$471.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$471.24
Rate for Payer: Cigna Commercial	$924.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.24
Rate for Payer: Oxford Commercial	$924.00
Rate for Payer: Qualcare PPO/HMO/WC	$277.20
Rate for Payer: UnitedHealthcare Commercial	$924.00

KNEE ZIM TIB ART 1.8 57884008

Facility

$1,848.00

Hospital Charge Code	270626738
Hospital Revenue Code	272
Min. Negotiated Rate	$277.20
Max. Negotiated Rate	$277.20
Rate for Payer: Qualcare PPO/HMO/WC	$277.20

KNIFE ACL GRAFT 10mm

Facility

$603.50

Hospital Charge Code	270657638
Hospital Revenue Code	272
Min. Negotiated Rate	$78.45
Max. Negotiated Rate	$301.75
Rate for Payer: Aetna Commercial	$181.05
Rate for Payer: Aetna Medicare Advantage	$181.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.89
Rate for Payer: Cigna Commercial	$301.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.45
Rate for Payer: Oxford Commercial	$301.75
Rate for Payer: Qualcare PPO/HMO/WC	$90.53
Rate for Payer: UnitedHealthcare Commercial	$301.75

KNIFE ACL GRAFT 10mm

Facility

$603.50

Hospital Charge Code	270657638
Hospital Revenue Code	272
Min. Negotiated Rate	$90.53
Max. Negotiated Rate	$90.53
Rate for Payer: Qualcare PPO/HMO/WC	$90.53

KNIFE ACL GRAFT 10MM

Facility

$775.00

Hospital Charge Code	270664041
Hospital Revenue Code	270
Min. Negotiated Rate	$100.75
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$232.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.75
Rate for Payer: Oxford Commercial	$387.50
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$387.50

KNIFE ACL GRAFT 10MM

Facility

$775.00

Hospital Charge Code	270664041
Hospital Revenue Code	270
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

KNIFE ACL GRAFT 9mm

Facility

$603.50

Hospital Charge Code	270657630
Hospital Revenue Code	272
Min. Negotiated Rate	$90.53
Max. Negotiated Rate	$90.53
Rate for Payer: Qualcare PPO/HMO/WC	$90.53

KNIFE ACL GRAFT 9mm

Facility

$603.50

Hospital Charge Code	270657630
Hospital Revenue Code	272
Min. Negotiated Rate	$78.45
Max. Negotiated Rate	$301.75
Rate for Payer: Aetna Commercial	$181.05
Rate for Payer: Aetna Medicare Advantage	$181.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.89
Rate for Payer: Cigna Commercial	$301.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.45
Rate for Payer: Oxford Commercial	$301.75
Rate for Payer: Qualcare PPO/HMO/WC	$90.53
Rate for Payer: UnitedHealthcare Commercial	$301.75

KNIFE ACL GRAFT 9MM

Facility

$873.00

Hospital Charge Code	270645584
Hospital Revenue Code	272
Min. Negotiated Rate	$130.95
Max. Negotiated Rate	$130.95
Rate for Payer: Qualcare PPO/HMO/WC	$130.95

KNIFE ACL GRAFT 9MM

Facility

$873.00

Hospital Charge Code	270645584
Hospital Revenue Code	272
Min. Negotiated Rate	$113.49
Max. Negotiated Rate	$436.50
Rate for Payer: Aetna Commercial	$261.90
Rate for Payer: Aetna Medicare Advantage	$261.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.62
Rate for Payer: Cigna Commercial	$436.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.49
Rate for Payer: Oxford Commercial	$436.50
Rate for Payer: Qualcare PPO/HMO/WC	$130.95
Rate for Payer: UnitedHealthcare Commercial	$436.50

KNIFE ALC CRESCENT 990001

Facility

$287.25

Hospital Charge Code	270600189
Hospital Revenue Code	272
Min. Negotiated Rate	$37.34
Max. Negotiated Rate	$143.62
Rate for Payer: Aetna Commercial	$86.17
Rate for Payer: Aetna Medicare Advantage	$86.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.25
Rate for Payer: Cigna Commercial	$143.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.34
Rate for Payer: Oxford Commercial	$143.62
Rate for Payer: Qualcare PPO/HMO/WC	$43.09
Rate for Payer: UnitedHealthcare Commercial	$143.62

Know your out-of-pocket cost for care.

All Charges