Heights University Hospital

All Charges

Charge

Type

Setting

Price

K-WIRE 3.2x450MM

Facility

$707.75

Service Code	HCPCS C1713
Hospital Charge Code	270625252
Hospital Revenue Code	278
Min. Negotiated Rate	$106.16
Max. Negotiated Rate	$353.88
Rate for Payer: Aetna Commercial	$212.32
Rate for Payer: Aetna Medicare Advantage	$212.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$180.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$180.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$180.48
Rate for Payer: Cigna Commercial	$353.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.28
Rate for Payer: Qualcare PPO/HMO/WC	$106.16

K-WIRE 3.2x450MM

Facility

$707.75

Service Code	HCPCS C1713
Hospital Charge Code	270625252
Hospital Revenue Code	278
Min. Negotiated Rate	$106.16
Max. Negotiated Rate	$171.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.28
Rate for Payer: Qualcare PPO/HMO/WC	$106.16

K-WIRE 3.2x600MM

Facility

$442.75

Hospital Charge Code	270666230
Hospital Revenue Code	272
Min. Negotiated Rate	$66.41
Max. Negotiated Rate	$66.41
Rate for Payer: Qualcare PPO/HMO/WC	$66.41

K-WIRE 3.2x600MM

Facility

$442.75

Hospital Charge Code	270666230
Hospital Revenue Code	272
Min. Negotiated Rate	$57.56
Max. Negotiated Rate	$221.38
Rate for Payer: Aetna Commercial	$132.82
Rate for Payer: Aetna Medicare Advantage	$132.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.90
Rate for Payer: Cigna Commercial	$221.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.56
Rate for Payer: Oxford Commercial	$221.38
Rate for Payer: Qualcare PPO/HMO/WC	$66.41
Rate for Payer: UnitedHealthcare Commercial	$221.38

K-WIRE .45

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270661764
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

K-WIRE .45

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270661764
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$210.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: Aetna Commercial	$126.00
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64

K- WIRE 6 .035

Facility

$12.10

Hospital Charge Code	270684571
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.81

K- WIRE 6 .035

Facility

$12.10

Hospital Charge Code	270684571
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$6.05
Rate for Payer: Aetna Commercial	$3.63
Rate for Payer: Aetna Medicare Advantage	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.09
Rate for Payer: Cigna Commercial	$6.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.57
Rate for Payer: Oxford Commercial	$6.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.81
Rate for Payer: UnitedHealthcare Commercial	$6.05

K- WIRE 6 .045

Facility

$12.10

Hospital Charge Code	270684572
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$6.05
Rate for Payer: Aetna Commercial	$3.63
Rate for Payer: Aetna Medicare Advantage	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.09
Rate for Payer: Cigna Commercial	$6.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.57
Rate for Payer: Oxford Commercial	$6.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.81
Rate for Payer: UnitedHealthcare Commercial	$6.05

K- WIRE 6 .045

Facility

$12.10

Hospital Charge Code	270684572
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.81

K- WIRE 6 .062

Facility

$12.10

Hospital Charge Code	270684573
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.81

K- WIRE 6 .062

Facility

$12.10

Hospital Charge Code	270684573
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$6.05
Rate for Payer: Aetna Commercial	$3.63
Rate for Payer: Aetna Medicare Advantage	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.09
Rate for Payer: Cigna Commercial	$6.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.57
Rate for Payer: Oxford Commercial	$6.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.81
Rate for Payer: UnitedHealthcare Commercial	$6.05

K WIRE .86 MM X 120 MM

Facility

$105.00

Hospital Charge Code	270688265
Hospital Revenue Code	272
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$31.50
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.65
Rate for Payer: Oxford Commercial	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$52.50

K WIRE .86 MM X 120 MM

Facility

$105.00

Hospital Charge Code	270688265
Hospital Revenue Code	272
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

K-WIRE .8X100MM TROCAR TIP

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270675315
Hospital Revenue Code	272
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

K-WIRE .8X100MM TROCAR TIP

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	270675315
Hospital Revenue Code	272
Min. Negotiated Rate	$22.75
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$52.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.75
Rate for Payer: Oxford Commercial	$87.50
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Commercial	$87.50

K- WIRE 9 .035

Facility

$12.10

Hospital Charge Code	270684574
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.81

K- WIRE 9 .035

Facility

$12.10

Hospital Charge Code	270684574
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$6.05
Rate for Payer: Aetna Commercial	$3.63
Rate for Payer: Aetna Medicare Advantage	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.09
Rate for Payer: Cigna Commercial	$6.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.57
Rate for Payer: Oxford Commercial	$6.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.81
Rate for Payer: UnitedHealthcare Commercial	$6.05

K- WIRE 9 .045

Facility

$12.10

Hospital Charge Code	270684575
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$6.05
Rate for Payer: Aetna Commercial	$3.63
Rate for Payer: Aetna Medicare Advantage	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.09
Rate for Payer: Cigna Commercial	$6.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.57
Rate for Payer: Oxford Commercial	$6.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.81
Rate for Payer: UnitedHealthcare Commercial	$6.05

K- WIRE 9 .045

Facility

$12.10

Hospital Charge Code	270684575
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.81

K- WIRE 9 .062

Facility

$12.10

Hospital Charge Code	270684576
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$6.05
Rate for Payer: Aetna Commercial	$3.63
Rate for Payer: Aetna Medicare Advantage	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.09
Rate for Payer: Cigna Commercial	$6.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.57
Rate for Payer: Oxford Commercial	$6.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.81
Rate for Payer: UnitedHealthcare Commercial	$6.05

K- WIRE 9 .062

Facility

$12.10

Hospital Charge Code	270684576
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.81

K-WIRE 9MM

Facility

$60.00

Service Code	HCPCS C1713
Hospital Charge Code	270678677
Hospital Revenue Code	278
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$14.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.52
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

K-WIRE 9MM

Facility

$60.00

Service Code	HCPCS C1713
Hospital Charge Code	270678677
Hospital Revenue Code	278
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$18.00
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.52
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

K-WIRE .9MM 4

Facility

$60.00

Hospital Charge Code	270675711
Hospital Revenue Code	272
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

Know your out-of-pocket cost for care.

All Charges