Heights University Hospital

All Charges

Charge

Type

Setting

Price

LONG NAIL 10MMX440MM LEFT 125D

Facility

$18,793.80

Service Code	HCPCS C1713
Hospital Charge Code	270705156
Hospital Revenue Code	278
Min. Negotiated Rate	$2,819.07
Max. Negotiated Rate	$9,396.90
Rate for Payer: Aetna Commercial	$5,638.14
Rate for Payer: Aetna Medicare Advantage	$5,638.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,792.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,792.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,758.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,792.42
Rate for Payer: Cigna Commercial	$9,396.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,548.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,819.07

LONG NAIL 10MMX440MM LEFT 125D

Facility

$18,793.80

Service Code	HCPCS C1713
Hospital Charge Code	270705156
Hospital Revenue Code	278
Min. Negotiated Rate	$2,819.07
Max. Negotiated Rate	$4,548.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,758.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,548.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,819.07

LONG NAIL 10x360MM 130 DEG

Facility

$13,061.10

Service Code	HCPCS C1713
Hospital Charge Code	270673643
Hospital Revenue Code	278
Min. Negotiated Rate	$1,959.16
Max. Negotiated Rate	$6,530.55
Rate for Payer: Aetna Commercial	$3,918.33
Rate for Payer: Aetna Medicare Advantage	$3,918.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,330.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,330.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,612.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,330.58
Rate for Payer: Cigna Commercial	$6,530.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,160.79
Rate for Payer: Qualcare PPO/HMO/WC	$1,959.16

LONG NAIL 10x360MM 130 DEG

Facility

$13,061.10

Service Code	HCPCS C1713
Hospital Charge Code	270673643
Hospital Revenue Code	278
Min. Negotiated Rate	$1,959.16
Max. Negotiated Rate	$3,160.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,612.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,160.79
Rate for Payer: Qualcare PPO/HMO/WC	$1,959.16

LONG NAIL KIT RT 11x340MMx125

Facility

$13,060.00

Hospital Charge Code	270675304
Hospital Revenue Code	278
Min. Negotiated Rate	$1,959.00
Max. Negotiated Rate	$6,530.00
Rate for Payer: Aetna Commercial	$3,918.00
Rate for Payer: Aetna Medicare Advantage	$3,918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,330.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,330.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,330.30
Rate for Payer: Cigna Commercial	$6,530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,160.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,959.00

LONG NAIL KIT RT 11x340MMx125

Facility

$13,060.00

Hospital Charge Code	270675304
Hospital Revenue Code	278
Min. Negotiated Rate	$1,959.00
Max. Negotiated Rate	$3,160.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,612.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,160.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,959.00

LONG NAIL LEFT

Facility

$18,793.80

Service Code	HCPCS C1713
Hospital Charge Code	270705862
Hospital Revenue Code	278
Min. Negotiated Rate	$2,819.07
Max. Negotiated Rate	$4,548.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,758.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,548.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,819.07

LONG NAIL LEFT

Facility

$18,793.80

Service Code	HCPCS C1713
Hospital Charge Code	270705862
Hospital Revenue Code	278
Min. Negotiated Rate	$2,819.07
Max. Negotiated Rate	$9,396.90
Rate for Payer: Aetna Commercial	$5,638.14
Rate for Payer: Aetna Medicare Advantage	$5,638.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,792.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,792.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,758.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,792.42
Rate for Payer: Cigna Commercial	$9,396.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,548.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,819.07

LONG NAIL, RIGHT 10X380MMX125D

Facility

$18,793.80

Service Code	HCPCS C1713
Hospital Charge Code	270705682
Hospital Revenue Code	278
Min. Negotiated Rate	$2,819.07
Max. Negotiated Rate	$4,548.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,758.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,548.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,819.07

LONG NAIL, RIGHT 10X380MMX125D

Facility

$18,793.80

Service Code	HCPCS C1713
Hospital Charge Code	270705682
Hospital Revenue Code	278
Min. Negotiated Rate	$2,819.07
Max. Negotiated Rate	$9,396.90
Rate for Payer: Aetna Commercial	$5,638.14
Rate for Payer: Aetna Medicare Advantage	$5,638.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,792.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,792.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,758.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,792.42
Rate for Payer: Cigna Commercial	$9,396.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,548.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,819.07

LONITEN/10MG/TAB

Facility

$11.32

Service Code	NDC 49884025701
Hospital Charge Code	60633314
Hospital Revenue Code	250
Min. Negotiated Rate	$1.70
Max. Negotiated Rate	$1.70
Rate for Payer: Qualcare PPO/HMO/WC	$1.70

LONITEN/10MG/TAB

Facility

$3.00

Hospital Charge Code	60634383
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

LONITEN/10MG/TAB

Facility

$3.00

Hospital Charge Code	60634383
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

LONITEN/10MG/TAB

Facility

$11.32

Service Code	NDC 49884025701
Hospital Charge Code	60633314
Hospital Revenue Code	250
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$5.66
Rate for Payer: Aetna Commercial	$3.40
Rate for Payer: Aetna Medicare Advantage	$3.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.89
Rate for Payer: Cigna Commercial	$5.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.47
Rate for Payer: Oxford Commercial	$5.66
Rate for Payer: Qualcare PPO/HMO/WC	$1.70
Rate for Payer: UnitedHealthcare Commercial	$5.66

LONITEN/2.5MG/TAB

Facility

$4.00

Hospital Charge Code	60633315
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

LONITEN/2.5MG/TAB

Facility

$3.00

Hospital Charge Code	60634382
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$0.90
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$1.50

LONITEN/2.5MG/TAB

Facility

$3.00

Hospital Charge Code	60634382
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

LONITEN/2.5MG/TAB

Facility

$4.00

Hospital Charge Code	60633315
Hospital Revenue Code	250
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.20
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$2.00

Loop cortical 15mm

Facility

$2,125.00

Hospital Charge Code	270666243
Hospital Revenue Code	272
Min. Negotiated Rate	$318.75
Max. Negotiated Rate	$318.75
Rate for Payer: Qualcare PPO/HMO/WC	$318.75

Loop cortical 15mm

Facility

$2,125.00

Hospital Charge Code	270666243
Hospital Revenue Code	272
Min. Negotiated Rate	$276.25
Max. Negotiated Rate	$1,062.50
Rate for Payer: Aetna Commercial	$637.50
Rate for Payer: Aetna Medicare Advantage	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$541.88
Rate for Payer: Cigna Commercial	$1,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.25
Rate for Payer: Oxford Commercial	$1,062.50
Rate for Payer: Qualcare PPO/HMO/WC	$318.75
Rate for Payer: UnitedHealthcare Commercial	$1,062.50

LOOP CUTTING 24FR

Facility

$337.50

Hospital Charge Code	270658548
Hospital Revenue Code	272
Min. Negotiated Rate	$43.88
Max. Negotiated Rate	$168.75
Rate for Payer: Aetna Commercial	$101.25
Rate for Payer: Aetna Medicare Advantage	$101.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.06
Rate for Payer: Cigna Commercial	$168.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.88
Rate for Payer: Oxford Commercial	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$50.62
Rate for Payer: UnitedHealthcare Commercial	$168.75

LOOP CUTTING 24FR

Facility

$337.50

Hospital Charge Code	270658548
Hospital Revenue Code	272
Min. Negotiated Rate	$50.62
Max. Negotiated Rate	$50.62
Rate for Payer: Qualcare PPO/HMO/WC	$50.62

LOOP CUT TUR 24F 27050G-10

Facility

$508.00

Hospital Charge Code	270600265
Hospital Revenue Code	272
Min. Negotiated Rate	$76.20
Max. Negotiated Rate	$76.20
Rate for Payer: Qualcare PPO/HMO/WC	$76.20

LOOP CUT TUR 24F 27050G-10

Facility

$508.00

Hospital Charge Code	270600265
Hospital Revenue Code	272
Min. Negotiated Rate	$66.04
Max. Negotiated Rate	$254.00
Rate for Payer: Aetna Commercial	$152.40
Rate for Payer: Aetna Medicare Advantage	$152.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.54
Rate for Payer: Cigna Commercial	$254.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.04
Rate for Payer: Oxford Commercial	$254.00
Rate for Payer: Qualcare PPO/HMO/WC	$76.20
Rate for Payer: UnitedHealthcare Commercial	$254.00

LOOP CUT TUR 24F 27050G-6

Facility

$561.75

Hospital Charge Code	270601253
Hospital Revenue Code	272
Min. Negotiated Rate	$73.03
Max. Negotiated Rate	$280.88
Rate for Payer: Aetna Commercial	$168.53
Rate for Payer: Aetna Medicare Advantage	$168.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.25
Rate for Payer: Cigna Commercial	$280.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.03
Rate for Payer: Oxford Commercial	$280.88
Rate for Payer: Qualcare PPO/HMO/WC	$84.26
Rate for Payer: UnitedHealthcare Commercial	$280.88

Know your out-of-pocket cost for care.

All Charges