Heights University Hospital

All Charges

Charge

Type

Setting

Price

K-WIRE 2.5x150MM

Facility

$115.00

Hospital Charge Code	270674309
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 2.5X200MM

Facility

$375.00

Service Code	HCPCS C1713
Hospital Charge Code	270693057
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

K-WIRE 2.5X200MM

Facility

$375.00

Service Code	HCPCS C1713
Hospital Charge Code	270693057
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$112.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

KWIRE 2.5x270mm

Facility

$225.00

Hospital Charge Code	270683635
Hospital Revenue Code	272
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$67.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.25
Rate for Payer: Oxford Commercial	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$112.50

KWIRE 2.5x270mm

Facility

$225.00

Hospital Charge Code	270683635
Hospital Revenue Code	272
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

K-WIRE 2.5x270MM

Facility

$100.00

Hospital Charge Code	270656781
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 2.5x270MM

Facility

$100.00

Hospital Charge Code	270656781
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 2MM

Facility

$154.70

Service Code	HCPCS C1713
Hospital Charge Code	270687069
Hospital Revenue Code	278
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$77.35
Rate for Payer: Aetna Commercial	$46.41
Rate for Payer: Aetna Medicare Advantage	$46.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.45
Rate for Payer: Cigna Commercial	$77.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.44
Rate for Payer: Qualcare PPO/HMO/WC	$23.20

K-WIRE 2MM

Facility

$154.70

Service Code	HCPCS C1713
Hospital Charge Code	270687069
Hospital Revenue Code	278
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$37.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.44
Rate for Payer: Qualcare PPO/HMO/WC	$23.20

K-WIRE 2mm KW2.0

Facility

$84.40

Hospital Charge Code	270634967
Hospital Revenue Code	272
Min. Negotiated Rate	$12.66
Max. Negotiated Rate	$12.66
Rate for Payer: Qualcare PPO/HMO/WC	$12.66

K-WIRE 2mm KW2.0

Facility

$84.40

Hospital Charge Code	270634967
Hospital Revenue Code	272
Min. Negotiated Rate	$10.97
Max. Negotiated Rate	$42.20
Rate for Payer: Aetna Commercial	$25.32
Rate for Payer: Aetna Medicare Advantage	$25.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.52
Rate for Payer: Cigna Commercial	$42.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.97
Rate for Payer: Oxford Commercial	$42.20
Rate for Payer: Qualcare PPO/HMO/WC	$12.66
Rate for Payer: UnitedHealthcare Commercial	$42.20

KWIRE 2MMX450MM

Facility

$488.00

Service Code	HCPCS C1713
Hospital Charge Code	270643406
Hospital Revenue Code	278
Min. Negotiated Rate	$73.20
Max. Negotiated Rate	$244.00
Rate for Payer: Aetna Commercial	$146.40
Rate for Payer: Aetna Medicare Advantage	$146.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.44
Rate for Payer: Cigna Commercial	$244.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.10
Rate for Payer: Qualcare PPO/HMO/WC	$73.20

KWIRE 2MMX450MM

Facility

$488.00

Service Code	HCPCS C1713
Hospital Charge Code	270643406
Hospital Revenue Code	278
Min. Negotiated Rate	$73.20
Max. Negotiated Rate	$118.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.10
Rate for Payer: Qualcare PPO/HMO/WC	$73.20

K-WIRE 2X150MM

Facility

$125.00

Service Code	HCPCS C1713
Hospital Charge Code	270693056
Hospital Revenue Code	278
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$37.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

K-WIRE 2X150MM

Facility

$125.00

Service Code	HCPCS C1713
Hospital Charge Code	270693056
Hospital Revenue Code	278
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$30.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

K-WIRE 2 X TROCAR 1.1x100MM

Facility

$210.00

Hospital Charge Code	270675272
Hospital Revenue Code	272
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.50

K-WIRE 2 X TROCAR 1.1x100MM

Facility

$210.00

Hospital Charge Code	270675272
Hospital Revenue Code	272
Min. Negotiated Rate	$27.30
Max. Negotiated Rate	$105.00
Rate for Payer: Aetna Commercial	$63.00
Rate for Payer: Aetna Medicare Advantage	$63.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.55
Rate for Payer: Cigna Commercial	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.30
Rate for Payer: Oxford Commercial	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.50
Rate for Payer: UnitedHealthcare Commercial	$105.00

K-WIRE 3.0 MM

Facility

$955.00

Service Code	HCPCS C1713
Hospital Charge Code	270677454
Hospital Revenue Code	278
Min. Negotiated Rate	$143.25
Max. Negotiated Rate	$231.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.11
Rate for Payer: Qualcare PPO/HMO/WC	$143.25

K-WIRE 3.0 MM

Facility

$955.00

Service Code	HCPCS C1713
Hospital Charge Code	270677454
Hospital Revenue Code	278
Min. Negotiated Rate	$143.25
Max. Negotiated Rate	$477.50
Rate for Payer: Aetna Commercial	$286.50
Rate for Payer: Aetna Medicare Advantage	$286.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$243.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$243.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$243.53
Rate for Payer: Cigna Commercial	$477.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.11
Rate for Payer: Qualcare PPO/HMO/WC	$143.25

K-WIRE 3.0MM THREAD TIP

Facility

$100.00

Hospital Charge Code	270656816
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 3.0MM THREAD TIP

Facility

$100.00

Hospital Charge Code	270656816
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

KWIRE 3.0X285MM

Facility

$948.75

Service Code	HCPCS C1713
Hospital Charge Code	270694560
Hospital Revenue Code	278
Min. Negotiated Rate	$142.31
Max. Negotiated Rate	$474.38
Rate for Payer: Aetna Commercial	$284.62
Rate for Payer: Aetna Medicare Advantage	$284.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$241.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$241.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$241.93
Rate for Payer: Cigna Commercial	$474.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.60
Rate for Payer: Qualcare PPO/HMO/WC	$142.31

KWIRE 3.0X285MM

Facility

$948.75

Service Code	HCPCS C1713
Hospital Charge Code	270694560
Hospital Revenue Code	278
Min. Negotiated Rate	$142.31
Max. Negotiated Rate	$229.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.60
Rate for Payer: Qualcare PPO/HMO/WC	$142.31

K-WIRE 3.2X400MM COCR

Facility

$1,190.00

Hospital Charge Code	270670505
Hospital Revenue Code	272
Min. Negotiated Rate	$154.70
Max. Negotiated Rate	$595.00
Rate for Payer: Aetna Commercial	$357.00
Rate for Payer: Aetna Medicare Advantage	$357.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$303.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$303.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$303.45
Rate for Payer: Cigna Commercial	$595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.70
Rate for Payer: Oxford Commercial	$595.00
Rate for Payer: Qualcare PPO/HMO/WC	$178.50
Rate for Payer: UnitedHealthcare Commercial	$595.00

K-WIRE 3.2X400MM COCR

Facility

$1,190.00

Hospital Charge Code	270670505
Hospital Revenue Code	272
Min. Negotiated Rate	$178.50
Max. Negotiated Rate	$178.50
Rate for Payer: Qualcare PPO/HMO/WC	$178.50

Know your out-of-pocket cost for care.

All Charges