Heights University Hospital

All Charges

Charge

Type

Setting

Price

NAIL FEML I/M 12 X 34 22401234

Facility

$4,605.65

Hospital Charge Code	270625978
Hospital Revenue Code	278
Min. Negotiated Rate	$690.85
Max. Negotiated Rate	$2,302.82
Rate for Payer: Aetna Commercial	$1,381.69
Rate for Payer: Aetna Medicare Advantage	$1,381.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,174.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,174.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$921.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,174.44
Rate for Payer: Cigna Commercial	$2,302.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,114.57
Rate for Payer: Qualcare PPO/HMO/WC	$690.85

NAIL FEMORAL 11x36 RET 343636

Facility

$8,320.00

Hospital Charge Code	270643370
Hospital Revenue Code	278
Min. Negotiated Rate	$1,248.00
Max. Negotiated Rate	$2,013.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,664.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,013.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,248.00

NAIL FEMORAL 11x36 RET 343636

Facility

$8,320.00

Hospital Charge Code	270643370
Hospital Revenue Code	278
Min. Negotiated Rate	$1,248.00
Max. Negotiated Rate	$4,160.00
Rate for Payer: Aetna Commercial	$2,496.00
Rate for Payer: Aetna Medicare Advantage	$2,496.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,121.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,121.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,664.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,121.60
Rate for Payer: Cigna Commercial	$4,160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,013.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,248.00

NAIL FEMORAL 11 X 380 MM

Facility

$14,980.00

Hospital Charge Code	270669250
Hospital Revenue Code	278
Min. Negotiated Rate	$2,247.00
Max. Negotiated Rate	$3,625.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,996.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,625.16
Rate for Payer: Qualcare PPO/HMO/WC	$2,247.00

NAIL FEMORAL 11 X 380 MM

Facility

$14,980.00

Hospital Charge Code	270669250
Hospital Revenue Code	278
Min. Negotiated Rate	$2,247.00
Max. Negotiated Rate	$7,490.00
Rate for Payer: Aetna Commercial	$4,494.00
Rate for Payer: Aetna Medicare Advantage	$4,494.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,819.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,819.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,996.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,819.90
Rate for Payer: Cigna Commercial	$7,490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,625.16
Rate for Payer: Qualcare PPO/HMO/WC	$2,247.00

NAIL FEMORAL 12x32 RETR 343632

Facility

$5,297.35

Hospital Charge Code	270632108
Hospital Revenue Code	278
Min. Negotiated Rate	$794.60
Max. Negotiated Rate	$1,281.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,059.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,281.96
Rate for Payer: Qualcare PPO/HMO/WC	$794.60

NAIL FEMORAL 12x32 RETR 343632

Facility

$5,297.35

Hospital Charge Code	270632108
Hospital Revenue Code	278
Min. Negotiated Rate	$794.60
Max. Negotiated Rate	$2,648.68
Rate for Payer: Aetna Commercial	$1,589.20
Rate for Payer: Aetna Medicare Advantage	$1,589.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,350.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,350.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,059.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,350.82
Rate for Payer: Cigna Commercial	$2,648.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,281.96
Rate for Payer: Qualcare PPO/HMO/WC	$794.60

NAIL FEMORAL 12x34mm 343734

Facility

$8,320.00

Hospital Charge Code	270643468
Hospital Revenue Code	278
Min. Negotiated Rate	$1,248.00
Max. Negotiated Rate	$4,160.00
Rate for Payer: Aetna Commercial	$2,496.00
Rate for Payer: Aetna Medicare Advantage	$2,496.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,121.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,121.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,664.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,121.60
Rate for Payer: Cigna Commercial	$4,160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,013.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,248.00

NAIL FEMORAL 12x34mm 343734

Facility

$8,320.00

Hospital Charge Code	270643468
Hospital Revenue Code	278
Min. Negotiated Rate	$1,248.00
Max. Negotiated Rate	$2,013.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,664.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,013.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,248.00

NAIL FEMORAL IM 10mm 34cm RT

Facility

$5,562.95

Hospital Charge Code	270636661
Hospital Revenue Code	278
Min. Negotiated Rate	$834.44
Max. Negotiated Rate	$1,346.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,112.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,346.23
Rate for Payer: Qualcare PPO/HMO/WC	$834.44

NAIL FEMORAL IM 10mm 34cm RT

Facility

$5,562.95

Hospital Charge Code	270636661
Hospital Revenue Code	278
Min. Negotiated Rate	$834.44
Max. Negotiated Rate	$2,781.47
Rate for Payer: Aetna Commercial	$1,668.88
Rate for Payer: Aetna Medicare Advantage	$1,668.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,418.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,418.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,112.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,418.55
Rate for Payer: Cigna Commercial	$2,781.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,346.23
Rate for Payer: Qualcare PPO/HMO/WC	$834.44

NAIL FEMORAL IM 14mm 34cm LT

Facility

$13,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270632851
Hospital Revenue Code	278
Min. Negotiated Rate	$2,010.00
Max. Negotiated Rate	$3,242.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,242.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,010.00

NAIL FEMORAL IM 14mm 34cm LT

Facility

$13,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270632851
Hospital Revenue Code	278
Min. Negotiated Rate	$2,010.00
Max. Negotiated Rate	$6,700.00
Rate for Payer: Aetna Commercial	$4,020.00
Rate for Payer: Aetna Medicare Advantage	$4,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,417.00
Rate for Payer: Cigna Commercial	$6,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,242.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,010.00

NAIL FEMORAL IM 2257-380-14

Facility

$5,563.25

Hospital Charge Code	270635483
Hospital Revenue Code	278
Min. Negotiated Rate	$834.49
Max. Negotiated Rate	$1,346.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,112.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,346.31
Rate for Payer: Qualcare PPO/HMO/WC	$834.49

NAIL FEMORAL IM 2257-380-14

Facility

$5,563.25

Hospital Charge Code	270635483
Hospital Revenue Code	278
Min. Negotiated Rate	$834.49
Max. Negotiated Rate	$2,781.62
Rate for Payer: Aetna Commercial	$1,668.97
Rate for Payer: Aetna Medicare Advantage	$1,668.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,418.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,418.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,112.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,418.63
Rate for Payer: Cigna Commercial	$2,781.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,346.31
Rate for Payer: Qualcare PPO/HMO/WC	$834.49

NAIL FEMORAL RETRO 9MM x300MM

Facility

$9,710.00

Hospital Charge Code	270648133
Hospital Revenue Code	278
Min. Negotiated Rate	$1,456.50
Max. Negotiated Rate	$4,855.00
Rate for Payer: Aetna Commercial	$2,913.00
Rate for Payer: Aetna Medicare Advantage	$2,913.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,476.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,476.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,942.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,476.05
Rate for Payer: Cigna Commercial	$4,855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,349.82
Rate for Payer: Qualcare PPO/HMO/WC	$1,456.50

NAIL FEMORAL RETRO 9MM x300MM

Facility

$9,710.00

Hospital Charge Code	270648133
Hospital Revenue Code	278
Min. Negotiated Rate	$1,456.50
Max. Negotiated Rate	$2,349.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,942.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,349.82
Rate for Payer: Qualcare PPO/HMO/WC	$1,456.50

NAIL FEMORAL RETRO 9x340MM

Facility

$15,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270677972
Hospital Revenue Code	278
Min. Negotiated Rate	$2,292.00
Max. Negotiated Rate	$7,640.00
Rate for Payer: Aetna Commercial	$4,584.00
Rate for Payer: Aetna Medicare Advantage	$4,584.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,896.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,896.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,056.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,896.40
Rate for Payer: Cigna Commercial	$7,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,697.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,292.00

NAIL FEMORAL RETRO 9x340MM

Facility

$15,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270677972
Hospital Revenue Code	278
Min. Negotiated Rate	$2,292.00
Max. Negotiated Rate	$3,697.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,056.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,697.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,292.00

NAIL FEMORAL RETRO 9X460MM

Facility

$10,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270700116
Hospital Revenue Code	278
Min. Negotiated Rate	$1,638.75
Max. Negotiated Rate	$5,462.50
Rate for Payer: Aetna Commercial	$3,277.50
Rate for Payer: Aetna Medicare Advantage	$3,277.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,785.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,785.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,185.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,785.88
Rate for Payer: Cigna Commercial	$5,462.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,643.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,638.75

NAIL FEMORAL RETRO 9X460MM

Facility

$10,925.00

Service Code	HCPCS C1713
Hospital Charge Code	270700116
Hospital Revenue Code	278
Min. Negotiated Rate	$1,638.75
Max. Negotiated Rate	$2,643.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,643.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,638.75

NAIL FEMORL 10x38 RT 225738010

Facility

$5,193.20

Hospital Charge Code	270632311
Hospital Revenue Code	278
Min. Negotiated Rate	$778.98
Max. Negotiated Rate	$1,256.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,038.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,256.75
Rate for Payer: Qualcare PPO/HMO/WC	$778.98

NAIL FEMORL 10x38 RT 225738010

Facility

$5,193.20

Hospital Charge Code	270632311
Hospital Revenue Code	278
Min. Negotiated Rate	$778.98
Max. Negotiated Rate	$2,596.60
Rate for Payer: Aetna Commercial	$1,557.96
Rate for Payer: Aetna Medicare Advantage	$1,557.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,324.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,324.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,038.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,324.27
Rate for Payer: Cigna Commercial	$2,596.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,256.75
Rate for Payer: Qualcare PPO/HMO/WC	$778.98

NAIL FEMRAL I/M 14x18 22401418

Facility

$4,766.65

Hospital Charge Code	270632353
Hospital Revenue Code	278
Min. Negotiated Rate	$715.00
Max. Negotiated Rate	$2,383.32
Rate for Payer: Aetna Commercial	$1,429.99
Rate for Payer: Aetna Medicare Advantage	$1,429.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,215.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,215.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$953.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,215.50
Rate for Payer: Cigna Commercial	$2,383.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,153.53
Rate for Payer: Qualcare PPO/HMO/WC	$715.00

NAIL FEMRAL I/M 14x18 22401418

Facility

$4,766.65

Hospital Charge Code	270632353
Hospital Revenue Code	278
Min. Negotiated Rate	$715.00
Max. Negotiated Rate	$1,153.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$953.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,153.53
Rate for Payer: Qualcare PPO/HMO/WC	$715.00

Know your out-of-pocket cost for care.

All Charges