Heights University Hospital

All Charges

Charge

Type

Setting

Price

NAIL Ti 011x180mmx125Deg TROC

Facility

$10,340.00

Service Code	HCPCS C1713
Hospital Charge Code	270645793
Hospital Revenue Code	278
Min. Negotiated Rate	$1,551.00
Max. Negotiated Rate	$5,170.00
Rate for Payer: Aetna Commercial	$3,102.00
Rate for Payer: Aetna Medicare Advantage	$3,102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,636.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,636.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,068.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,636.70
Rate for Payer: Cigna Commercial	$5,170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,502.28
Rate for Payer: Qualcare PPO/HMO/WC	$1,551.00

NAIL TIB 10x30m LO PRO34344230

Facility

$3,432.40

Hospital Charge Code	270634982
Hospital Revenue Code	278
Min. Negotiated Rate	$514.86
Max. Negotiated Rate	$830.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$686.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$830.64
Rate for Payer: Qualcare PPO/HMO/WC	$514.86

NAIL TIB 10x30m LO PRO34344230

Facility

$3,432.40

Hospital Charge Code	270634982
Hospital Revenue Code	278
Min. Negotiated Rate	$514.86
Max. Negotiated Rate	$1,716.20
Rate for Payer: Aetna Commercial	$1,029.72
Rate for Payer: Aetna Medicare Advantage	$1,029.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$875.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$875.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$686.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$875.26
Rate for Payer: Cigna Commercial	$1,716.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$830.64
Rate for Payer: Qualcare PPO/HMO/WC	$514.86

NAIL TIB 9MM TIT CAN EX/330MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270679274
Hospital Revenue Code	278
Min. Negotiated Rate	$927.00
Max. Negotiated Rate	$3,090.00
Rate for Payer: Aetna Commercial	$1,854.00
Rate for Payer: Aetna Medicare Advantage	$1,854.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,575.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,575.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,575.90
Rate for Payer: Cigna Commercial	$3,090.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,495.56
Rate for Payer: Qualcare PPO/HMO/WC	$927.00

NAIL TIB 9MM TIT CAN EX/330MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270679274
Hospital Revenue Code	278
Min. Negotiated Rate	$927.00
Max. Negotiated Rate	$1,495.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,236.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,495.56
Rate for Payer: Qualcare PPO/HMO/WC	$927.00

NAIL TIBIA 7.5MM X 280MM

Facility

$20,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270705499
Hospital Revenue Code	278
Min. Negotiated Rate	$3,090.00
Max. Negotiated Rate	$10,300.00
Rate for Payer: Aetna Commercial	$6,180.00
Rate for Payer: Aetna Medicare Advantage	$6,180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,253.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,253.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,253.00
Rate for Payer: Cigna Commercial	$10,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,985.20
Rate for Payer: Qualcare PPO/HMO/WC	$3,090.00

NAIL TIBIA 7.5MM X 280MM

Facility

$20,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270705499
Hospital Revenue Code	278
Min. Negotiated Rate	$3,090.00
Max. Negotiated Rate	$4,985.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,985.20
Rate for Payer: Qualcare PPO/HMO/WC	$3,090.00

NAIL TIBIAL 10x330mm

Facility

$5,586.00

Hospital Charge Code	270652816
Hospital Revenue Code	278
Min. Negotiated Rate	$837.90
Max. Negotiated Rate	$1,351.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,117.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,351.81
Rate for Payer: Qualcare PPO/HMO/WC	$837.90

NAIL TIBIAL 10x330mm

Facility

$5,586.00

Hospital Charge Code	270652816
Hospital Revenue Code	278
Min. Negotiated Rate	$837.90
Max. Negotiated Rate	$2,793.00
Rate for Payer: Aetna Commercial	$1,675.80
Rate for Payer: Aetna Medicare Advantage	$1,675.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,424.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,424.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,117.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,424.43
Rate for Payer: Cigna Commercial	$2,793.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,351.81
Rate for Payer: Qualcare PPO/HMO/WC	$837.90

NAIL TIBIAL 10X330 MM

Facility

$13,580.00

Service Code	HCPCS C1713
Hospital Charge Code	270703692
Hospital Revenue Code	278
Min. Negotiated Rate	$2,037.00
Max. Negotiated Rate	$3,286.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,716.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,286.36
Rate for Payer: Qualcare PPO/HMO/WC	$2,037.00

NAIL TIBIAL 10X330 MM

Facility

$13,580.00

Service Code	HCPCS C1713
Hospital Charge Code	270703692
Hospital Revenue Code	278
Min. Negotiated Rate	$2,037.00
Max. Negotiated Rate	$6,790.00
Rate for Payer: Aetna Commercial	$4,074.00
Rate for Payer: Aetna Medicare Advantage	$4,074.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,462.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,462.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,716.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,462.90
Rate for Payer: Cigna Commercial	$6,790.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,286.36
Rate for Payer: Qualcare PPO/HMO/WC	$2,037.00

NAIL TIBIAL 10X345MM

Facility

$8,297.00

Service Code	HCPCS C1713
Hospital Charge Code	270696024
Hospital Revenue Code	278
Min. Negotiated Rate	$1,244.55
Max. Negotiated Rate	$4,148.50
Rate for Payer: Aetna Commercial	$2,489.10
Rate for Payer: Aetna Medicare Advantage	$2,489.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,115.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,115.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,659.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,115.74
Rate for Payer: Cigna Commercial	$4,148.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,007.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,244.55

NAIL TIBIAL 10X345MM

Facility

$8,297.00

Service Code	HCPCS C1713
Hospital Charge Code	270696024
Hospital Revenue Code	278
Min. Negotiated Rate	$1,244.55
Max. Negotiated Rate	$2,007.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,659.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,007.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,244.55

NAIL TIBIAL 11x315 1822-1131S

Facility

$7,375.00

Hospital Charge Code	270638650
Hospital Revenue Code	278
Min. Negotiated Rate	$1,106.25
Max. Negotiated Rate	$1,784.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,784.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,106.25

NAIL TIBIAL 11x315 1822-1131S

Facility

$7,375.00

Hospital Charge Code	270638650
Hospital Revenue Code	278
Min. Negotiated Rate	$1,106.25
Max. Negotiated Rate	$3,687.50
Rate for Payer: Aetna Commercial	$2,212.50
Rate for Payer: Aetna Medicare Advantage	$2,212.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,880.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,880.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,880.62
Rate for Payer: Cigna Commercial	$3,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,784.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,106.25

NAIL TIBIAL 9X300MM

Facility

$20,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270700305
Hospital Revenue Code	278
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$10,000.00
Rate for Payer: Aetna Commercial	$6,000.00
Rate for Payer: Aetna Medicare Advantage	$6,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,100.00
Rate for Payer: Cigna Commercial	$10,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,840.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

NAIL TIBIAL 9X300MM

Facility

$20,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270700305
Hospital Revenue Code	278
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$4,840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,840.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

NAIL TIBIAL 9X390

Facility

$8,240.00

Service Code	HCPCS C1713
Hospital Charge Code	270672757
Hospital Revenue Code	278
Min. Negotiated Rate	$1,236.00
Max. Negotiated Rate	$1,994.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,648.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,994.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,236.00

NAIL TIBIAL 9X390

Facility

$8,240.00

Service Code	HCPCS C1713
Hospital Charge Code	270672757
Hospital Revenue Code	278
Min. Negotiated Rate	$1,236.00
Max. Negotiated Rate	$4,120.00
Rate for Payer: Aetna Commercial	$2,472.00
Rate for Payer: Aetna Medicare Advantage	$2,472.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,648.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,101.20
Rate for Payer: Cigna Commercial	$4,120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,994.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,236.00

NAIL TIBIAL IM 11X38 225338011

Facility

$3,570.50

Hospital Charge Code	270634683
Hospital Revenue Code	278
Min. Negotiated Rate	$535.58
Max. Negotiated Rate	$1,785.25
Rate for Payer: Aetna Commercial	$1,071.15
Rate for Payer: Aetna Medicare Advantage	$1,071.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$910.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$910.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$714.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$910.48
Rate for Payer: Cigna Commercial	$1,785.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$864.06
Rate for Payer: Qualcare PPO/HMO/WC	$535.58

NAIL TIBIAL IM 11X38 225338011

Facility

$3,570.50

Hospital Charge Code	270634683
Hospital Revenue Code	278
Min. Negotiated Rate	$535.58
Max. Negotiated Rate	$864.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$714.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$864.06
Rate for Payer: Qualcare PPO/HMO/WC	$535.58

NAIL TIBIAL IM LKG TI 9X330MM

Facility

$6,950.00

Service Code	HCPCS C1713
Hospital Charge Code	270697855
Hospital Revenue Code	278
Min. Negotiated Rate	$1,042.50
Max. Negotiated Rate	$1,681.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,681.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,042.50

NAIL TIBIAL IM LKG TI 9X330MM

Facility

$6,950.00

Service Code	HCPCS C1713
Hospital Charge Code	270697855
Hospital Revenue Code	278
Min. Negotiated Rate	$1,042.50
Max. Negotiated Rate	$3,475.00
Rate for Payer: Aetna Commercial	$2,085.00
Rate for Payer: Aetna Medicare Advantage	$2,085.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,772.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,772.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,772.25
Rate for Payer: Cigna Commercial	$3,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,681.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,042.50

NAIL TIBIAL LOCKING 10.5X360MM

Facility

$8,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270646651
Hospital Revenue Code	278
Min. Negotiated Rate	$1,233.75
Max. Negotiated Rate	$1,990.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,645.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.75

NAIL TIBIAL LOCKING 10.5X360MM

Facility

$8,225.00

Service Code	HCPCS C1713
Hospital Charge Code	270646651
Hospital Revenue Code	278
Min. Negotiated Rate	$1,233.75
Max. Negotiated Rate	$4,112.50
Rate for Payer: Aetna Commercial	$2,467.50
Rate for Payer: Aetna Medicare Advantage	$2,467.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,097.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,097.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,645.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,097.38
Rate for Payer: Cigna Commercial	$4,112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.75

Know your out-of-pocket cost for care.

All Charges