Heights University Hospital

All Charges

Charge

Type

Setting

Price

ARTHRD SI JT PRQ WO TFXJ DEV

Facility

$84,204.60

Service Code	HCPCS 27278
Hospital Charge Code	16001048
Hospital Revenue Code	360
Min. Negotiated Rate	$12,630.69
Max. Negotiated Rate	$12,630.69
Rate for Payer: Qualcare PPO/HMO/WC	$12,630.69

ARTHREX 10MM RETRO CUTTER CAT

Facility

$1,395.00

Hospital Charge Code	656418
Hospital Revenue Code	270
Min. Negotiated Rate	$181.35
Max. Negotiated Rate	$697.50
Rate for Payer: Aetna Commercial	$418.50
Rate for Payer: Aetna Medicare Advantage	$418.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$355.73
Rate for Payer: Cigna Commercial	$697.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.35
Rate for Payer: Oxford Commercial	$697.50
Rate for Payer: Qualcare PPO/HMO/WC	$209.25
Rate for Payer: UnitedHealthcare Commercial	$697.50

ARTHREX 10MM RETRO CUTTER CAT

Facility

$1,395.00

Hospital Charge Code	270656418
Hospital Revenue Code	270
Min. Negotiated Rate	$209.25
Max. Negotiated Rate	$209.25
Rate for Payer: Qualcare PPO/HMO/WC	$209.25

ARTHREX 10MM RETRO CUTTER CAT

Facility

$1,395.00

Hospital Charge Code	656418
Hospital Revenue Code	270
Min. Negotiated Rate	$209.25
Max. Negotiated Rate	$209.25
Rate for Payer: Qualcare PPO/HMO/WC	$209.25

ARTHREX 10MM RETRO CUTTER CAT

Facility

$1,395.00

Hospital Charge Code	270656418
Hospital Revenue Code	270
Min. Negotiated Rate	$181.35
Max. Negotiated Rate	$697.50
Rate for Payer: Aetna Commercial	$418.50
Rate for Payer: Aetna Medicare Advantage	$418.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$355.73
Rate for Payer: Cigna Commercial	$697.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.35
Rate for Payer: Oxford Commercial	$697.50
Rate for Payer: Qualcare PPO/HMO/WC	$209.25
Rate for Payer: UnitedHealthcare Commercial	$697.50

ARTHREX ACP KIT SERIES WITH AC

Facility

$1,075.00

Hospital Charge Code	270703393
Hospital Revenue Code	278
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$322.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$215.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.15
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

ARTHREX ACP KIT SERIES WITH AC

Facility

$1,075.00

Hospital Charge Code	270703393
Hospital Revenue Code	278
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$260.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.15
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

ARTHREX DISSECTOR 3.5MM X 13CM

Facility

$200.00

Hospital Charge Code	270704728
Hospital Revenue Code	279
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$60.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$100.00

ARTHREX DISSECTOR 3.5MM X 13CM

Facility

$200.00

Hospital Charge Code	270704728
Hospital Revenue Code	279
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

ARTHREX FIBERTAK

Facility

$875.00

Hospital Charge Code	270704953
Hospital Revenue Code	279
Min. Negotiated Rate	$113.75
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$262.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.75
Rate for Payer: Oxford Commercial	$437.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$437.50

ARTHREX FIBERTAK

Facility

$875.00

Hospital Charge Code	270704953
Hospital Revenue Code	279
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

ARTHREX LASSO

Facility

$901.25

Hospital Charge Code	270704952
Hospital Revenue Code	279
Min. Negotiated Rate	$135.19
Max. Negotiated Rate	$135.19
Rate for Payer: Qualcare PPO/HMO/WC	$135.19

ARTHREX LASSO

Facility

$901.25

Hospital Charge Code	270704952
Hospital Revenue Code	279
Min. Negotiated Rate	$117.16
Max. Negotiated Rate	$450.62
Rate for Payer: Aetna Commercial	$270.38
Rate for Payer: Aetna Medicare Advantage	$270.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.82
Rate for Payer: Cigna Commercial	$450.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.16
Rate for Payer: Oxford Commercial	$450.62
Rate for Payer: Qualcare PPO/HMO/WC	$135.19
Rate for Payer: UnitedHealthcare Commercial	$450.62

ARTHRO BIOINDUCTIVE 1 MED

Facility

$14,000.00

Hospital Charge Code	270687117
Hospital Revenue Code	278
Min. Negotiated Rate	$2,100.00
Max. Negotiated Rate	$7,000.00
Rate for Payer: Aetna Commercial	$4,200.00
Rate for Payer: Aetna Medicare Advantage	$4,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,570.00
Rate for Payer: Cigna Commercial	$7,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00

ARTHRO BIOINDUCTIVE 1 MED

Facility

$14,000.00

Hospital Charge Code	270687117
Hospital Revenue Code	278
Min. Negotiated Rate	$2,100.00
Max. Negotiated Rate	$3,388.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00

ARTHROCELL

Facility

$9,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270686676
Hospital Revenue Code	278
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$2,299.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,299.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

ARTHROCELL

Facility

$9,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270686676
Hospital Revenue Code	278
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$4,750.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,422.50
Rate for Payer: Cigna Commercial	$4,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,299.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

ARTHROCELL 10CC

Facility

$15,000.00

Service Code	HCPCS C1765
Hospital Charge Code	270706087
Hospital Revenue Code	278
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$7,500.00
Rate for Payer: Aetna Commercial	$4,500.00
Rate for Payer: Aetna Medicare Advantage	$4,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,825.00
Rate for Payer: Cigna Commercial	$7,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00

ARTHROCELL 10CC

Facility

$15,000.00

Service Code	HCPCS C1765
Hospital Charge Code	270706087
Hospital Revenue Code	278
Min. Negotiated Rate	$2,250.00
Max. Negotiated Rate	$3,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,250.00

ARTHRODESIS ANT SP4-7 VERTEB

Facility

$9,300.00

Service Code	HCPCS 22810
Hospital Charge Code	1600000872
Hospital Revenue Code	360
Min. Negotiated Rate	$1,395.00
Max. Negotiated Rate	$1,395.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,395.00

ARTHRODESIS ANT SP4-7 VERTEB

Facility

$9,300.00

Service Code	HCPCS 22810
Hospital Charge Code	1600000872
Hospital Revenue Code	360
Min. Negotiated Rate	$1,209.00
Max. Negotiated Rate	$41,754.94
Rate for Payer: Aetna Commercial	$2,790.00
Rate for Payer: Aetna Medicare Advantage	$2,790.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,371.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,371.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,371.50
Rate for Payer: Cigna Commercial	$41,754.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,209.00
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,395.00
Rate for Payer: UnitedHealthcare Commercial	$10,997.00

ARTHRODESIS GREAT TOE,IP JOINT

Facility

$19,998.60

Service Code	HCPCS 28755
Hospital Charge Code	16000726
Hospital Revenue Code	360
Min. Negotiated Rate	$2,999.79
Max. Negotiated Rate	$2,999.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79

ARTHRODESIS GREAT TOE,IP JOINT

Facility

$19,998.60

Service Code	HCPCS 28755
Hospital Charge Code	16000726
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,279.91
Rate for Payer: Aetna Commercial	$5,999.58
Rate for Payer: Aetna Medicare Advantage	$5,999.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,099.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,099.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,099.64
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,599.82
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,999.79
Rate for Payer: UnitedHealthcare Commercial	$5,529.00

ARTHRODESIS GREAT TOE,MTP JNT

Facility

$57,834.50

Service Code	HCPCS 28750
Hospital Charge Code	16000279
Hospital Revenue Code	360
Min. Negotiated Rate	$8,675.17
Max. Negotiated Rate	$8,675.17
Rate for Payer: Qualcare PPO/HMO/WC	$8,675.17

ARTHRODESIS GREAT TOE,MTP JNT

Facility

$57,834.50

Service Code	HCPCS 28750
Hospital Charge Code	16000279
Hospital Revenue Code	360
Min. Negotiated Rate	$1,864.00
Max. Negotiated Rate	$17,350.35
Rate for Payer: Aetna Commercial	$17,350.35
Rate for Payer: Aetna Medicare Advantage	$17,350.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,747.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,747.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,747.80
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,518.48
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,675.17
Rate for Payer: UnitedHealthcare Commercial	$9,851.00

Know your out-of-pocket cost for care.

All Charges