Heights University Hospital

All Charges

Charge

Type

Setting

Price

KWIRE SS 1.25X150MM

Facility

$70.70

Service Code	HCPCS C1713
Hospital Charge Code	270700471
Hospital Revenue Code	278
Min. Negotiated Rate	$10.61
Max. Negotiated Rate	$17.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.11
Rate for Payer: Qualcare PPO/HMO/WC	$10.61

KWIRE SS 1.25X150MM

Facility

$70.70

Service Code	HCPCS C1713
Hospital Charge Code	270700471
Hospital Revenue Code	278
Min. Negotiated Rate	$10.61
Max. Negotiated Rate	$35.35
Rate for Payer: Aetna Commercial	$21.21
Rate for Payer: Aetna Medicare Advantage	$21.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.03
Rate for Payer: Cigna Commercial	$35.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.11
Rate for Payer: Qualcare PPO/HMO/WC	$10.61

K-WIRE STANDARD TIP .9x152MM

Facility

$170.00

Hospital Charge Code	270661784
Hospital Revenue Code	272
Min. Negotiated Rate	$25.50
Max. Negotiated Rate	$25.50
Rate for Payer: Qualcare PPO/HMO/WC	$25.50

K-WIRE STANDARD TIP .9x152MM

Facility

$170.00

Hospital Charge Code	270661784
Hospital Revenue Code	272
Min. Negotiated Rate	$22.10
Max. Negotiated Rate	$85.00
Rate for Payer: Aetna Commercial	$51.00
Rate for Payer: Aetna Medicare Advantage	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.35
Rate for Payer: Cigna Commercial	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.10
Rate for Payer: Oxford Commercial	$85.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.50
Rate for Payer: UnitedHealthcare Commercial	$85.00

K-WIRE STEINMANN 4 X.045

Facility

$14.75

Hospital Charge Code	270680489
Hospital Revenue Code	272
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$7.38
Rate for Payer: Aetna Commercial	$4.42
Rate for Payer: Aetna Medicare Advantage	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.76
Rate for Payer: Cigna Commercial	$7.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.92
Rate for Payer: Oxford Commercial	$7.38
Rate for Payer: Qualcare PPO/HMO/WC	$2.21
Rate for Payer: UnitedHealthcare Commercial	$7.38

K-WIRE STEINMANN 4 X.045

Facility

$14.75

Hospital Charge Code	270680489
Hospital Revenue Code	272
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$2.21
Rate for Payer: Qualcare PPO/HMO/WC	$2.21

K-WIRE STEINMANN 4 X.062

Facility

$14.75

Hospital Charge Code	270680490
Hospital Revenue Code	272
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$7.38
Rate for Payer: Aetna Commercial	$4.42
Rate for Payer: Aetna Medicare Advantage	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.76
Rate for Payer: Cigna Commercial	$7.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.92
Rate for Payer: Oxford Commercial	$7.38
Rate for Payer: Qualcare PPO/HMO/WC	$2.21
Rate for Payer: UnitedHealthcare Commercial	$7.38

K-WIRE STEINMANN 4 X.062

Facility

$14.75

Hospital Charge Code	270680490
Hospital Revenue Code	272
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$2.21
Rate for Payer: Qualcare PPO/HMO/WC	$2.21

K-WIRE STEINMANN 5 X.028

Facility

$14.75

Hospital Charge Code	270680491
Hospital Revenue Code	272
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$2.21
Rate for Payer: Qualcare PPO/HMO/WC	$2.21

K-WIRE STEINMANN 5 X.028

Facility

$14.75

Hospital Charge Code	270680491
Hospital Revenue Code	272
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$7.38
Rate for Payer: Aetna Commercial	$4.42
Rate for Payer: Aetna Medicare Advantage	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.76
Rate for Payer: Cigna Commercial	$7.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.92
Rate for Payer: Oxford Commercial	$7.38
Rate for Payer: Qualcare PPO/HMO/WC	$2.21
Rate for Payer: UnitedHealthcare Commercial	$7.38

K-WIRE STEINMANN 5 X.035

Facility

$14.75

Hospital Charge Code	270680492
Hospital Revenue Code	272
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$7.38
Rate for Payer: Aetna Commercial	$4.42
Rate for Payer: Aetna Medicare Advantage	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.76
Rate for Payer: Cigna Commercial	$7.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.92
Rate for Payer: Oxford Commercial	$7.38
Rate for Payer: Qualcare PPO/HMO/WC	$2.21
Rate for Payer: UnitedHealthcare Commercial	$7.38

K-WIRE STEINMANN 5 X.035

Facility

$14.75

Hospital Charge Code	270680492
Hospital Revenue Code	272
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$2.21
Rate for Payer: Qualcare PPO/HMO/WC	$2.21

K-WIRE STEINMANN 5 X.045

Facility

$14.75

Hospital Charge Code	270680493
Hospital Revenue Code	272
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$7.38
Rate for Payer: Aetna Commercial	$4.42
Rate for Payer: Aetna Medicare Advantage	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.76
Rate for Payer: Cigna Commercial	$7.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.92
Rate for Payer: Oxford Commercial	$7.38
Rate for Payer: Qualcare PPO/HMO/WC	$2.21
Rate for Payer: UnitedHealthcare Commercial	$7.38

K-WIRE STEINMANN 5 X.045

Facility

$14.75

Hospital Charge Code	270680493
Hospital Revenue Code	272
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$2.21
Rate for Payer: Qualcare PPO/HMO/WC	$2.21

K-WIRE STERILE 3x285MM

Facility

$985.00

Service Code	HCPCS C1713
Hospital Charge Code	270651319
Hospital Revenue Code	278
Min. Negotiated Rate	$147.75
Max. Negotiated Rate	$238.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$197.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.37
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

K-WIRE STERILE 3x285MM

Facility

$985.00

Service Code	HCPCS C1713
Hospital Charge Code	270651319
Hospital Revenue Code	278
Min. Negotiated Rate	$147.75
Max. Negotiated Rate	$492.50
Rate for Payer: Aetna Commercial	$295.50
Rate for Payer: Aetna Medicare Advantage	$295.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$251.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$251.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$197.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$251.18
Rate for Payer: Cigna Commercial	$492.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.37
Rate for Payer: Qualcare PPO/HMO/WC	$147.75

K-WIRES TROCAR PT 1 END 16MM X

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270661150
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$159.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

K-WIRES TROCAR PT 1 END 16MM X

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270661150
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$198.00
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

KWIRE TC SERIES 2.0/2.5 0.9X 1

Facility

$90.00

Hospital Charge Code	270676510
Hospital Revenue Code	272
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$27.00
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.70
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$45.00

KWIRE TC SERIES 2.0/2.5 0.9X 1

Facility

$90.00

Hospital Charge Code	270676510
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

K-WIRE THRD 2.5x150MM

Facility

$80.20

Hospital Charge Code	270601818
Hospital Revenue Code	272
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$40.10
Rate for Payer: Aetna Commercial	$24.06
Rate for Payer: Aetna Medicare Advantage	$24.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.45
Rate for Payer: Cigna Commercial	$40.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.43
Rate for Payer: Oxford Commercial	$40.10
Rate for Payer: Qualcare PPO/HMO/WC	$12.03
Rate for Payer: UnitedHealthcare Commercial	$40.10

K-WIRE THRD 2.5x150MM

Facility

$80.20

Hospital Charge Code	270601818
Hospital Revenue Code	272
Min. Negotiated Rate	$12.03
Max. Negotiated Rate	$12.03
Rate for Payer: Qualcare PPO/HMO/WC	$12.03

KWIRE THRD RECON 3.2X400MM

Facility

$1,919.00

Service Code	HCPCS C1713
Hospital Charge Code	270698906
Hospital Revenue Code	278
Min. Negotiated Rate	$287.85
Max. Negotiated Rate	$959.50
Rate for Payer: Aetna Commercial	$575.70
Rate for Payer: Aetna Medicare Advantage	$575.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$489.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$489.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$489.35
Rate for Payer: Cigna Commercial	$959.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$464.40
Rate for Payer: Qualcare PPO/HMO/WC	$287.85

KWIRE THRD RECON 3.2X400MM

Facility

$1,919.00

Service Code	HCPCS C1713
Hospital Charge Code	270698906
Hospital Revenue Code	278
Min. Negotiated Rate	$287.85
Max. Negotiated Rate	$464.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$464.40
Rate for Payer: Qualcare PPO/HMO/WC	$287.85

K-WIRE THREADED 2MMX280MM

Facility

$169.50

Hospital Charge Code	270668424
Hospital Revenue Code	278
Min. Negotiated Rate	$25.43
Max. Negotiated Rate	$84.75
Rate for Payer: Aetna Commercial	$50.85
Rate for Payer: Aetna Medicare Advantage	$50.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.22
Rate for Payer: Cigna Commercial	$84.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.02
Rate for Payer: Qualcare PPO/HMO/WC	$25.43

Know your out-of-pocket cost for care.

All Charges