Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

K-WIRE DOUBLE TROCAR .035x6

Facility

$175.00

Hospital Charge Code	270677347
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 DOUBLE TROCAR .035x6

Facility

$175.00

Hospital Charge Code	270677347
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 DOUBLE TROCAR SMOOTH 0.

Facility

$23.50

Hospital Charge Code	270706062
Hospital Revenue Code	279
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$11.75
Rate for Payer: Aetna Commercial	$7.05
Rate for Payer: Aetna Medicare Advantage	$7.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.99
Rate for Payer: Cigna Commercial	$11.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.06
Rate for Payer: Oxford Commercial	$11.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.52
Rate for Payer: UnitedHealthcare Commercial	$11.75

K WIRE DOUBLE TROCAR SMOOTH 0.

Facility

$23.50

Hospital Charge Code	270706062
Hospital Revenue Code	279
Min. Negotiated Rate	$3.52
Max. Negotiated Rate	$3.52
Rate for Payer: Qualcare PPO/HMO/WC	$3.52

K-WIRE FIXATION

Facility

$1,027.80

Service Code	HCPCS C1713
Hospital Charge Code	270703689
Hospital Revenue Code	278
Min. Negotiated Rate	$154.17
Max. Negotiated Rate	$248.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.73
Rate for Payer: Qualcare PPO/HMO/WC	$154.17

K-WIRE FIXATION

Facility

$1,027.80

Service Code	HCPCS C1713
Hospital Charge Code	270703689
Hospital Revenue Code	278
Min. Negotiated Rate	$154.17
Max. Negotiated Rate	$513.90
Rate for Payer: Aetna Commercial	$308.34
Rate for Payer: Aetna Medicare Advantage	$308.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$262.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$262.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$262.09
Rate for Payer: Cigna Commercial	$513.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.73
Rate for Payer: Qualcare PPO/HMO/WC	$154.17

KWIRE FIXATION 1.1MM 4 INCH DI

Facility

$21.00

Service Code	HCPCS C1713
Hospital Charge Code	270693652
Hospital Revenue Code	278
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$10.50
Rate for Payer: Aetna Commercial	$6.30
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.08
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

KWIRE FIXATION 1.1MM 4 INCH DI

Facility

$21.00

Service Code	HCPCS C1713
Hospital Charge Code	270693652
Hospital Revenue Code	278
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$5.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.08
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

K WIRE FULLY THD 1.6MMX200MM

Facility

$370.00

Service Code	HCPCS C1713
Hospital Charge Code	270670011
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$89.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

K WIRE FULLY THD 1.6MMX200MM

Facility

$370.00

Service Code	HCPCS C1713
Hospital Charge Code	270670011
Hospital Revenue Code	278
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$111.00
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.54
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

K WIRE ISGL END SMOOTH 1.6

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	270700689
Hospital Revenue Code	278
Min. Negotiated Rate	$17.32
Max. Negotiated Rate	$57.75
Rate for Payer: Aetna Commercial	$34.65
Rate for Payer: Aetna Medicare Advantage	$34.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.45
Rate for Payer: Cigna Commercial	$57.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Qualcare PPO/HMO/WC	$17.32

K WIRE ISGL END SMOOTH 1.6

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	270700689
Hospital Revenue Code	278
Min. Negotiated Rate	$17.32
Max. Negotiated Rate	$27.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Qualcare PPO/HMO/WC	$17.32

K-WIRE LENGTH 100MM BLUNT TIP

Facility

$151.20

Hospital Charge Code	270668722
Hospital Revenue Code	272
Min. Negotiated Rate	$22.68
Max. Negotiated Rate	$22.68
Rate for Payer: Qualcare PPO/HMO/WC	$22.68

K-WIRE LENGTH 100MM BLUNT TIP

Facility

$151.20

Hospital Charge Code	270668722
Hospital Revenue Code	272
Min. Negotiated Rate	$19.66
Max. Negotiated Rate	$75.60
Rate for Payer: Aetna Commercial	$45.36
Rate for Payer: Aetna Medicare Advantage	$45.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.56
Rate for Payer: Cigna Commercial	$75.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.66
Rate for Payer: Oxford Commercial	$75.60
Rate for Payer: Qualcare PPO/HMO/WC	$22.68
Rate for Payer: UnitedHealthcare Commercial	$75.60

KWIRE MONSTER SS SM 0.9MM

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	270700250
Hospital Revenue Code	278
Min. Negotiated Rate	$17.32
Max. Negotiated Rate	$27.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Qualcare PPO/HMO/WC	$17.32

KWIRE MONSTER SS SM 0.9MM

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	2707002502
Hospital Revenue Code	278
Min. Negotiated Rate	$17.32
Max. Negotiated Rate	$57.75
Rate for Payer: Aetna Commercial	$34.65
Rate for Payer: Aetna Medicare Advantage	$34.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.45
Rate for Payer: Cigna Commercial	$57.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Qualcare PPO/HMO/WC	$17.32

KWIRE MONSTER SS SM 0.9MM

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	2707002502
Hospital Revenue Code	278
Min. Negotiated Rate	$17.32
Max. Negotiated Rate	$27.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Qualcare PPO/HMO/WC	$17.32

KWIRE MONSTER SS SM 0.9MM

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	270700250
Hospital Revenue Code	278
Min. Negotiated Rate	$17.32
Max. Negotiated Rate	$57.75
Rate for Payer: Aetna Commercial	$34.65
Rate for Payer: Aetna Medicare Advantage	$34.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.45
Rate for Payer: Cigna Commercial	$57.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Qualcare PPO/HMO/WC	$17.32

KWIRE NITINOL 149-646

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697676
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

KWIRE NITINOL 149-646

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697676
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$250.00
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: Aetna Commercial	$150.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

KWIRE NITINOL 480MM

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270695259
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

KWIRE NITINOL 480MM

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270695259
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
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) NJ Health	$45.00
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	$54.45
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

KWIRE NITINOL BLUNT 1.4X500MM

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270695742
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

KWIRE NITINOL BLUNT 1.4X500MM

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270695742
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

Know your out-of-pocket cost for care.

All Charges