Heights University Hospital

All Charges

Charge

Type

Setting

Price

KWIRE 1.6MM TROCAR 150MM

Facility

$1,462.80

Service Code	HCPCS C1713
Hospital Charge Code	270689661
Hospital Revenue Code	278
Min. Negotiated Rate	$219.42
Max. Negotiated Rate	$731.40
Rate for Payer: Aetna Commercial	$438.84
Rate for Payer: Aetna Medicare Advantage	$438.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.01
Rate for Payer: Cigna Commercial	$731.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.00
Rate for Payer: Qualcare PPO/HMO/WC	$219.42

K-WIRE 1.6mm x150mm KW16150

Facility

$345.00

Hospital Charge Code	270643579
Hospital Revenue Code	272
Min. Negotiated Rate	$51.75
Max. Negotiated Rate	$51.75
Rate for Payer: Qualcare PPO/HMO/WC	$51.75

K-WIRE 1.6mm x150mm KW16150

Facility

$345.00

Hospital Charge Code	270643579
Hospital Revenue Code	272
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$172.50
Rate for Payer: Aetna Commercial	$103.50
Rate for Payer: Aetna Medicare Advantage	$103.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.97
Rate for Payer: Cigna Commercial	$172.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.85
Rate for Payer: Oxford Commercial	$172.50
Rate for Payer: Qualcare PPO/HMO/WC	$51.75
Rate for Payer: UnitedHealthcare Commercial	$172.50

KWIRE 1.6MMX22.9CM

Facility

$134.95

Service Code	HCPCS C1713
Hospital Charge Code	270665362
Hospital Revenue Code	278
Min. Negotiated Rate	$20.24
Max. Negotiated Rate	$67.47
Rate for Payer: Aetna Commercial	$40.48
Rate for Payer: Aetna Medicare Advantage	$40.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.41
Rate for Payer: Cigna Commercial	$67.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.66
Rate for Payer: Qualcare PPO/HMO/WC	$20.24

KWIRE 1.6MMX22.9CM

Facility

$134.95

Service Code	HCPCS C1713
Hospital Charge Code	270665362
Hospital Revenue Code	278
Min. Negotiated Rate	$20.24
Max. Negotiated Rate	$32.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.66
Rate for Payer: Qualcare PPO/HMO/WC	$20.24

K- WIRE 1.6MM X TRO TIP

Facility

$275.00

Service Code	HCPCS C1713
Hospital Charge Code	270703718
Hospital Revenue Code	278
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$82.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.55
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

K- WIRE 1.6MM X TRO TIP

Facility

$275.00

Service Code	HCPCS C1713
Hospital Charge Code	270703718
Hospital Revenue Code	278
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$66.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.55
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

K-WIRE 1.6x150mm

Facility

$100.00

Hospital Charge Code	270676419
Hospital Revenue Code	272
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$30.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$50.00

K-WIRE 1.6x150mm

Facility

$100.00

Hospital Charge Code	270676419
Hospital Revenue Code	272
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

K-WIRE 1.6x150MM

Facility

$115.00

Hospital Charge Code	270656775
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

K-WIRE 1.6x150MM

Facility

$115.00

Hospital Charge Code	270656775
Hospital Revenue Code	272
Min. Negotiated Rate	$14.95
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$34.50
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.95
Rate for Payer: Oxford Commercial	$57.50
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$57.50

K-WIRE 1.6 X 230MM

Facility

$126.00

Service Code	HCPCS C1713
Hospital Charge Code	270701482
Hospital Revenue Code	278
Min. Negotiated Rate	$18.90
Max. Negotiated Rate	$63.00
Rate for Payer: Aetna Commercial	$37.80
Rate for Payer: Aetna Medicare Advantage	$37.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.13
Rate for Payer: Cigna Commercial	$63.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.49
Rate for Payer: Qualcare PPO/HMO/WC	$18.90

K-WIRE 1.6 X 230MM

Facility

$126.00

Service Code	HCPCS C1713
Hospital Charge Code	270701482
Hospital Revenue Code	278
Min. Negotiated Rate	$18.90
Max. Negotiated Rate	$30.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.49
Rate for Payer: Qualcare PPO/HMO/WC	$18.90

K WIRE 1.7MM

Facility

$75.00

Hospital Charge Code	270705386
Hospital Revenue Code	279
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

K WIRE 1.7MM

Facility

$75.00

Hospital Charge Code	270705386
Hospital Revenue Code	279
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$22.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.75
Rate for Payer: Oxford Commercial	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$37.50

K WIRE 1.8 MM DIRECT MEASURE

Facility

$4,345.15

Hospital Charge Code	270688278
Hospital Revenue Code	272
Min. Negotiated Rate	$651.77
Max. Negotiated Rate	$651.77
Rate for Payer: Qualcare PPO/HMO/WC	$651.77

K WIRE 1.8 MM DIRECT MEASURE

Facility

$4,345.15

Hospital Charge Code	270688278
Hospital Revenue Code	272
Min. Negotiated Rate	$564.87
Max. Negotiated Rate	$2,172.57
Rate for Payer: Aetna Commercial	$1,303.55
Rate for Payer: Aetna Medicare Advantage	$1,303.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,108.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,108.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,108.01
Rate for Payer: Cigna Commercial	$2,172.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$564.87
Rate for Payer: Oxford Commercial	$2,172.57
Rate for Payer: Qualcare PPO/HMO/WC	$651.77
Rate for Payer: UnitedHealthcare Commercial	$2,172.57

K-WIRE 2.0

Facility

$157.50

Hospital Charge Code	270665750
Hospital Revenue Code	272
Min. Negotiated Rate	$20.48
Max. Negotiated Rate	$78.75
Rate for Payer: Aetna Commercial	$47.25
Rate for Payer: Aetna Medicare Advantage	$47.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.16
Rate for Payer: Cigna Commercial	$78.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.48
Rate for Payer: Oxford Commercial	$78.75
Rate for Payer: Qualcare PPO/HMO/WC	$23.62
Rate for Payer: UnitedHealthcare Commercial	$78.75

K-WIRE 2.0

Facility

$157.50

Hospital Charge Code	270665750
Hospital Revenue Code	272
Min. Negotiated Rate	$23.62
Max. Negotiated Rate	$23.62
Rate for Payer: Qualcare PPO/HMO/WC	$23.62

K-WIRE 2.0 702460S

Facility

$745.00

Service Code	HCPCS C1713
Hospital Charge Code	270648761
Hospital Revenue Code	278
Min. Negotiated Rate	$111.75
Max. Negotiated Rate	$372.50
Rate for Payer: Aetna Commercial	$223.50
Rate for Payer: Aetna Medicare Advantage	$223.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$149.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.97
Rate for Payer: Cigna Commercial	$372.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.29
Rate for Payer: Qualcare PPO/HMO/WC	$111.75

K-WIRE 2.0 702460S

Facility

$745.00

Service Code	HCPCS C1713
Hospital Charge Code	270648761
Hospital Revenue Code	278
Min. Negotiated Rate	$111.75
Max. Negotiated Rate	$180.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$149.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.29
Rate for Payer: Qualcare PPO/HMO/WC	$111.75

K WIRE 20MM

Facility

$190.00

Hospital Charge Code	270661806
Hospital Revenue Code	272
Min. Negotiated Rate	$24.70
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$57.00
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.70
Rate for Payer: Oxford Commercial	$95.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$95.00

K WIRE 20MM

Facility

$190.00

Hospital Charge Code	270661806
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

K-WIRE 2.0MM

Facility

$102.00

Hospital Charge Code	270679964
Hospital Revenue Code	272
Min. Negotiated Rate	$15.30
Max. Negotiated Rate	$15.30
Rate for Payer: Qualcare PPO/HMO/WC	$15.30

K-WIRE 2.0MM

Facility

$102.00

Hospital Charge Code	270679964
Hospital Revenue Code	272
Min. Negotiated Rate	$13.26
Max. Negotiated Rate	$51.00
Rate for Payer: Aetna Commercial	$30.60
Rate for Payer: Aetna Medicare Advantage	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.01
Rate for Payer: Cigna Commercial	$51.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.26
Rate for Payer: Oxford Commercial	$51.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.30
Rate for Payer: UnitedHealthcare Commercial	$51.00

Know your out-of-pocket cost for care.

All Charges