Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

K-WIRE THRED TIP 1.6x100MM

Facility

$2,011.50

Hospital Charge Code	270681557
Hospital Revenue Code	272
Min. Negotiated Rate	$301.73
Max. Negotiated Rate	$301.73
Rate for Payer: Qualcare PPO/HMO/WC	$301.73

K-WIRE THRED TIP 1.6x100MM

Facility

$2,011.50

Hospital Charge Code	270681557
Hospital Revenue Code	272
Min. Negotiated Rate	$261.50
Max. Negotiated Rate	$1,005.75
Rate for Payer: Aetna Commercial	$603.45
Rate for Payer: Aetna Medicare Advantage	$603.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$512.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$512.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$512.93
Rate for Payer: Cigna Commercial	$1,005.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.50
Rate for Payer: Oxford Commercial	$1,005.75
Rate for Payer: Qualcare PPO/HMO/WC	$301.73
Rate for Payer: UnitedHealthcare Commercial	$1,005.75

K-WIRE TRCR TIP SMTH 1.6X230M

Facility

$1,911.25

Service Code	HCPCS C1713
Hospital Charge Code	270701474
Hospital Revenue Code	278
Min. Negotiated Rate	$286.69
Max. Negotiated Rate	$955.62
Rate for Payer: Aetna Commercial	$573.38
Rate for Payer: Aetna Medicare Advantage	$573.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$487.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$487.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$382.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$487.37
Rate for Payer: Cigna Commercial	$955.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$462.52
Rate for Payer: Qualcare PPO/HMO/WC	$286.69

K-WIRE TRCR TIP SMTH 1.6X230M

Facility

$1,911.25

Service Code	HCPCS C1713
Hospital Charge Code	270701474
Hospital Revenue Code	278
Min. Negotiated Rate	$286.69
Max. Negotiated Rate	$462.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$382.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$462.52
Rate for Payer: Qualcare PPO/HMO/WC	$286.69

KWIRE TROCAR 0.8 100 MM

Facility

$235.10

Service Code	HCPCS C1713
Hospital Charge Code	698350
Hospital Revenue Code	278
Min. Negotiated Rate	$35.27
Max. Negotiated Rate	$117.55
Rate for Payer: Aetna Commercial	$70.53
Rate for Payer: Aetna Medicare Advantage	$70.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.95
Rate for Payer: Cigna Commercial	$117.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.89
Rate for Payer: Qualcare PPO/HMO/WC	$35.27

KWIRE TROCAR 0.8 100 MM

Facility

$235.10

Service Code	HCPCS C1713
Hospital Charge Code	698350
Hospital Revenue Code	278
Min. Negotiated Rate	$35.27
Max. Negotiated Rate	$56.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.89
Rate for Payer: Qualcare PPO/HMO/WC	$35.27

KWIRE TROCAR 0.8 100 MM

Facility

$235.10

Service Code	HCPCS C1713
Hospital Charge Code	270698350
Hospital Revenue Code	278
Min. Negotiated Rate	$35.27
Max. Negotiated Rate	$56.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.89
Rate for Payer: Qualcare PPO/HMO/WC	$35.27

KWIRE TROCAR 0.8 100 MM

Facility

$235.10

Service Code	HCPCS C1713
Hospital Charge Code	270698350
Hospital Revenue Code	278
Min. Negotiated Rate	$35.27
Max. Negotiated Rate	$117.55
Rate for Payer: Aetna Commercial	$70.53
Rate for Payer: Aetna Medicare Advantage	$70.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.95
Rate for Payer: Cigna Commercial	$117.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.89
Rate for Payer: Qualcare PPO/HMO/WC	$35.27

K-WIRE TROCAR 1.1x100MM

Facility

$175.00

Hospital Charge Code	270675275
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 TROCAR 1.1x100MM

Facility

$175.00

Hospital Charge Code	270675275
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 TROCAR DOUBLE 0.035X4

Facility

$175.00

Hospital Charge Code	270674922
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 TROCAR DOUBLE 0.035X4

Facility

$175.00

Hospital Charge Code	270674922
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

KWIRE TROCAR TIP 1.4MMX24IN

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270695126
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$300.00
Rate for Payer: Cigna Commercial	$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: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

KWIRE TROCAR TIP 1.4MMX24IN

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270695126
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

K-WIRE TROCAR TIP 1.6MM

Facility

$185.00

Hospital Charge Code	270661697
Hospital Revenue Code	272
Min. Negotiated Rate	$27.75
Max. Negotiated Rate	$27.75
Rate for Payer: Qualcare PPO/HMO/WC	$27.75

K-WIRE TROCAR TIP 1.6MM

Facility

$185.00

Hospital Charge Code	270661697
Hospital Revenue Code	272
Min. Negotiated Rate	$24.05
Max. Negotiated Rate	$92.50
Rate for Payer: Aetna Commercial	$55.50
Rate for Payer: Aetna Medicare Advantage	$55.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.17
Rate for Payer: Cigna Commercial	$92.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.05
Rate for Payer: Oxford Commercial	$92.50
Rate for Payer: Qualcare PPO/HMO/WC	$27.75
Rate for Payer: UnitedHealthcare Commercial	$92.50

KWIRE TROCAR TIP SMT 1.1X100MM

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	270700496
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 TROCAR TIP SMT 1.1X100MM

Facility

$115.50

Service Code	HCPCS C1713
Hospital Charge Code	270700496
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 TROC TIP 1.4X23.5

Facility

$1,680.00

Service Code	HCPCS C1713
Hospital Charge Code	270703618
Hospital Revenue Code	278
Min. Negotiated Rate	$252.00
Max. Negotiated Rate	$840.00
Rate for Payer: Aetna Commercial	$504.00
Rate for Payer: Aetna Medicare Advantage	$504.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.40
Rate for Payer: Cigna Commercial	$840.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.56
Rate for Payer: Qualcare PPO/HMO/WC	$252.00

KWIRE TROC TIP 1.4X23.5

Facility

$1,680.00

Service Code	HCPCS C1713
Hospital Charge Code	270703618
Hospital Revenue Code	278
Min. Negotiated Rate	$252.00
Max. Negotiated Rate	$406.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$336.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.56
Rate for Payer: Qualcare PPO/HMO/WC	$252.00

KWIRE TROC TIP SMTH 1.4X100MM

Facility

$231.00

Service Code	HCPCS C1713
Hospital Charge Code	270700502
Hospital Revenue Code	278
Min. Negotiated Rate	$34.65
Max. Negotiated Rate	$55.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.90
Rate for Payer: Qualcare PPO/HMO/WC	$34.65

KWIRE TROC TIP SMTH 1.4X100MM

Facility

$231.00

Service Code	HCPCS C1713
Hospital Charge Code	270700502
Hospital Revenue Code	278
Min. Negotiated Rate	$34.65
Max. Negotiated Rate	$115.50
Rate for Payer: Aetna Commercial	$69.30
Rate for Payer: Aetna Medicare Advantage	$69.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.91
Rate for Payer: Cigna Commercial	$115.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.90
Rate for Payer: Qualcare PPO/HMO/WC	$34.65

K-WIRE W/OLIVE 1.2MM

Facility

$980.00

Service Code	HCPCS C1713
Hospital Charge Code	270661036
Hospital Revenue Code	278
Min. Negotiated Rate	$147.00
Max. Negotiated Rate	$237.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: Qualcare PPO/HMO/WC	$147.00

K-WIRE W/OLIVE 1.2MM

Facility

$980.00

Service Code	HCPCS C1713
Hospital Charge Code	270661036
Hospital Revenue Code	278
Min. Negotiated Rate	$147.00
Max. Negotiated Rate	$490.00
Rate for Payer: Aetna Commercial	$294.00
Rate for Payer: Aetna Medicare Advantage	$294.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.90
Rate for Payer: Cigna Commercial	$490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.16
Rate for Payer: Qualcare PPO/HMO/WC	$147.00

Know your out-of-pocket cost for care.

All Charges