Heights University Hospital

All Charges

Charge

Type

Setting

Price

KWIRE DBL TROCAR 0.062X6INCH

Facility

$22.25

Service Code	HCPCS C1713
Hospital Charge Code	270699577
Hospital Revenue Code	278
Min. Negotiated Rate	$3.34
Max. Negotiated Rate	$5.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.38
Rate for Payer: Qualcare PPO/HMO/WC	$3.34

KWIRE DBL TROCAR 0.062X6INCH

Facility

$22.25

Service Code	HCPCS C1713
Hospital Charge Code	270699577
Hospital Revenue Code	278
Min. Negotiated Rate	$3.34
Max. Negotiated Rate	$11.12
Rate for Payer: Aetna Commercial	$6.67
Rate for Payer: Aetna Medicare Advantage	$6.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.67
Rate for Payer: Cigna Commercial	$11.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.38
Rate for Payer: Qualcare PPO/HMO/WC	$3.34

K-WIRE DOUBLE ENDED .045x6

Facility

$75.00

Service Code	HCPCS C1713
Hospital Charge Code	270679470
Hospital Revenue Code	278
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$18.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

K-WIRE DOUBLE ENDED .045x6

Facility

$75.00

Service Code	HCPCS C1713
Hospital Charge Code	270679470
Hospital Revenue Code	278
Min. Negotiated Rate	$11.25
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) NJ Health	$15.00
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	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

K-WIRE (DOUBLE ENDED) 1.4 X 15

Facility

$120.00

Hospital Charge Code	270687159
Hospital Revenue Code	272
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

K-WIRE (DOUBLE ENDED) 1.4 X 15

Facility

$120.00

Hospital Charge Code	270687159
Hospital Revenue Code	272
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$60.00
Rate for Payer: Aetna Commercial	$36.00
Rate for Payer: Aetna Medicare Advantage	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.60
Rate for Payer: Cigna Commercial	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$60.00

K-WIRE DOUBLE ENDED 4..028 TR

Facility

$95.00

Hospital Charge Code	270667885
Hospital Revenue Code	278
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$47.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$28.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.23
Rate for Payer: Cigna Commercial	$47.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.99
Rate for Payer: Qualcare PPO/HMO/WC	$14.25

K-WIRE DOUBLE ENDED 4..028 TR

Facility

$95.00

Hospital Charge Code	270667885
Hospital Revenue Code	278
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$22.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.99
Rate for Payer: Qualcare PPO/HMO/WC	$14.25

K-WIRE DOUBLE ENDED 4 .035 TR

Facility

$15.83

Service Code	HCPCS C1713
Hospital Charge Code	270667882
Hospital Revenue Code	278
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.37

K-WIRE DOUBLE ENDED 4 .035 TR

Facility

$15.83

Service Code	HCPCS C1713
Hospital Charge Code	270667882
Hospital Revenue Code	278
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$7.92
Rate for Payer: Aetna Commercial	$4.75
Rate for Payer: Aetna Medicare Advantage	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.04
Rate for Payer: Cigna Commercial	$7.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.37

K-WIRE DOUBLE ENDED 4 .045 TR

Facility

$15.83

Service Code	HCPCS C1713
Hospital Charge Code	270667883
Hospital Revenue Code	278
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.37

K-WIRE DOUBLE ENDED 4 .045 TR

Facility

$15.83

Service Code	HCPCS C1713
Hospital Charge Code	270667883
Hospital Revenue Code	278
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$7.92
Rate for Payer: Aetna Commercial	$4.75
Rate for Payer: Aetna Medicare Advantage	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.04
Rate for Payer: Cigna Commercial	$7.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.37

K-WIRE DOUBLE ENDED 4 .062 TR

Facility

$15.83

Hospital Charge Code	270667884
Hospital Revenue Code	272
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$7.92
Rate for Payer: Aetna Commercial	$4.75
Rate for Payer: Aetna Medicare Advantage	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.04
Rate for Payer: Cigna Commercial	$7.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.06
Rate for Payer: Oxford Commercial	$7.92
Rate for Payer: Qualcare PPO/HMO/WC	$2.37
Rate for Payer: UnitedHealthcare Commercial	$7.92

K-WIRE DOUBLE ENDED 4 .062 TR

Facility

$15.83

Hospital Charge Code	270667884
Hospital Revenue Code	272
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$2.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.37

K-WIRE DOUBLE ENDED 9' .028 TR

Facility

$95.00

Hospital Charge Code	270667886
Hospital Revenue Code	278
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$22.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.99
Rate for Payer: Qualcare PPO/HMO/WC	$14.25

K-WIRE DOUBLE ENDED 9' .028 TR

Facility

$95.00

Hospital Charge Code	270667886
Hospital Revenue Code	278
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$47.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$28.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.23
Rate for Payer: Cigna Commercial	$47.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.99
Rate for Payer: Qualcare PPO/HMO/WC	$14.25

K-WIRE DOUBLE ENDED 9' .035 TR

Facility

$15.83

Service Code	HCPCS C1713
Hospital Charge Code	270667888
Hospital Revenue Code	278
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.37

K-WIRE DOUBLE ENDED 9' .035 TR

Facility

$15.83

Service Code	HCPCS C1713
Hospital Charge Code	270667888
Hospital Revenue Code	278
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$7.92
Rate for Payer: Aetna Commercial	$4.75
Rate for Payer: Aetna Medicare Advantage	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.04
Rate for Payer: Cigna Commercial	$7.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.37

K-WIRE DOUBLE ENDED 9' .045 TR

Facility

$95.00

Hospital Charge Code	270667889
Hospital Revenue Code	278
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$47.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$28.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.23
Rate for Payer: Cigna Commercial	$47.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.99
Rate for Payer: Qualcare PPO/HMO/WC	$14.25

K-WIRE DOUBLE ENDED 9' .045 TR

Facility

$95.00

Hospital Charge Code	270667889
Hospital Revenue Code	278
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$22.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.99
Rate for Payer: Qualcare PPO/HMO/WC	$14.25

K-WIRE DOUBLE ENDED 9' .062 TR

Facility

$15.83

Service Code	HCPCS C1713
Hospital Charge Code	270667891
Hospital Revenue Code	278
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.37

K-WIRE DOUBLE ENDED 9' .062 TR

Facility

$15.83

Service Code	HCPCS C1713
Hospital Charge Code	270667891
Hospital Revenue Code	278
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$7.92
Rate for Payer: Aetna Commercial	$4.75
Rate for Payer: Aetna Medicare Advantage	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.04
Rate for Payer: Cigna Commercial	$7.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.37

K WIRE DOUBLE END POINT 4 IN

Facility

$88.50

Service Code	HCPCS C1713
Hospital Charge Code	270691504
Hospital Revenue Code	278
Min. Negotiated Rate	$13.28
Max. Negotiated Rate	$44.25
Rate for Payer: Aetna Commercial	$26.55
Rate for Payer: Aetna Medicare Advantage	$26.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.57
Rate for Payer: Cigna Commercial	$44.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.42
Rate for Payer: Qualcare PPO/HMO/WC	$13.28

K WIRE DOUBLE END POINT 4 IN

Facility

$88.50

Service Code	HCPCS C1713
Hospital Charge Code	270691504
Hospital Revenue Code	278
Min. Negotiated Rate	$13.28
Max. Negotiated Rate	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.42
Rate for Payer: Qualcare PPO/HMO/WC	$13.28

K WIRE DOUBLE TROCA 6 IN 1.6MM

Facility

$31.25

Service Code	HCPCS C1713
Hospital Charge Code	270687109
Hospital Revenue Code	278
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.56
Rate for Payer: Qualcare PPO/HMO/WC	$4.69

Know your out-of-pocket cost for care.

All Charges