Heights University Hospital

All Charges

Charge

Type

Setting

Price

NAILTIBIALWPROXBEND9MM345MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270679275
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 TIBIAL W/PROX BND 8x285MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270673609
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

NAIL TIBIAL W/PROX BND 8x285MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270673609
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

NAIL TIBIAL W/PROX BND 9x285MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270678604
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 TIBIAL W/PROX BND 9x285MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270678604
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 TIBIAL W/PROX BND 9x360MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270647420
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 TIBIAL W/PROX BND 9x360MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270647420
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 TIBIAL W/PRX BND 10x300MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270646674
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 TIBIAL W/PRX BND 10x300MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270646674
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 TIBIAL W/PRX BND 10x345MM

Facility

$6,365.40

Service Code	HCPCS C1713
Hospital Charge Code	270674374
Hospital Revenue Code	278
Min. Negotiated Rate	$954.81
Max. Negotiated Rate	$1,540.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,273.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,540.43
Rate for Payer: Qualcare PPO/HMO/WC	$954.81

NAIL TIBIAL W/PRX BND 10x345MM

Facility

$6,365.40

Service Code	HCPCS C1713
Hospital Charge Code	270674374
Hospital Revenue Code	278
Min. Negotiated Rate	$954.81
Max. Negotiated Rate	$3,182.70
Rate for Payer: Cigna Commercial	$3,182.70
Rate for Payer: Aetna Commercial	$1,909.62
Rate for Payer: Aetna Medicare Advantage	$1,909.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,623.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,623.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,273.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,623.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,540.43
Rate for Payer: Qualcare PPO/HMO/WC	$954.81

NAIL TIBIAL W/PRX BND 10x360MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270672774
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 TIBIAL W/PRX BND 10x360MM

Facility

$6,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270672774
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 TIBIAL W/PRX BND 11x360MM

Facility

$6,000.00

Hospital Charge Code	270676405
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

NAIL TIBIAL W/PRX BND 11x360MM

Facility

$6,000.00

Hospital Charge Code	270676405
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

NAIL TIBIA PHOENIX 10X150MM

Facility

$15,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270700134
Hospital Revenue Code	278
Min. Negotiated Rate	$2,291.25
Max. Negotiated Rate	$3,696.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,055.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,696.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,291.25

NAIL TIBIA PHOENIX 10X150MM

Facility

$15,275.00

Service Code	HCPCS C1713
Hospital Charge Code	270700134
Hospital Revenue Code	278
Min. Negotiated Rate	$2,291.25
Max. Negotiated Rate	$7,637.50
Rate for Payer: Aetna Commercial	$4,582.50
Rate for Payer: Aetna Medicare Advantage	$4,582.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,895.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,895.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,055.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,895.12
Rate for Payer: Cigna Commercial	$7,637.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,696.55
Rate for Payer: Qualcare PPO/HMO/WC	$2,291.25

NAIL TIBIA STANDARD 09 X 330M

Facility

$11,980.00

Service Code	HCPCS C1713
Hospital Charge Code	270667790
Hospital Revenue Code	278
Min. Negotiated Rate	$1,797.00
Max. Negotiated Rate	$5,990.00
Rate for Payer: Aetna Commercial	$3,594.00
Rate for Payer: Aetna Medicare Advantage	$3,594.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,054.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,054.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,396.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,054.90
Rate for Payer: Cigna Commercial	$5,990.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,899.16
Rate for Payer: Qualcare PPO/HMO/WC	$1,797.00

NAIL TIBIA STANDARD 09 X 330M

Facility

$11,980.00

Service Code	HCPCS C1713
Hospital Charge Code	270667790
Hospital Revenue Code	278
Min. Negotiated Rate	$1,797.00
Max. Negotiated Rate	$2,899.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,396.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,899.16
Rate for Payer: Qualcare PPO/HMO/WC	$1,797.00

NAIL TIB TIT 11mm32cm 34344332

Facility

$3,505.00

Hospital Charge Code	270638682
Hospital Revenue Code	278
Min. Negotiated Rate	$525.75
Max. Negotiated Rate	$848.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$701.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$848.21
Rate for Payer: Qualcare PPO/HMO/WC	$525.75

NAIL TIB TIT 11mm32cm 34344332

Facility

$3,505.00

Hospital Charge Code	270638682
Hospital Revenue Code	278
Min. Negotiated Rate	$525.75
Max. Negotiated Rate	$1,752.50
Rate for Payer: Aetna Commercial	$1,051.50
Rate for Payer: Aetna Medicare Advantage	$1,051.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$893.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$893.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$701.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$893.77
Rate for Payer: Cigna Commercial	$1,752.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$848.21
Rate for Payer: Qualcare PPO/HMO/WC	$525.75

NAIL TI CANN TROCH FX 170mm

Facility

$5,760.00

Hospital Charge Code	270637687
Hospital Revenue Code	278
Min. Negotiated Rate	$864.00
Max. Negotiated Rate	$1,393.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,152.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,393.92
Rate for Payer: Qualcare PPO/HMO/WC	$864.00

NAIL TI CANN TROCH FX 170mm

Facility

$5,760.00

Hospital Charge Code	270637687
Hospital Revenue Code	278
Min. Negotiated Rate	$864.00
Max. Negotiated Rate	$2,880.00
Rate for Payer: Aetna Commercial	$1,728.00
Rate for Payer: Aetna Medicare Advantage	$1,728.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,468.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,468.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,152.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,468.80
Rate for Payer: Cigna Commercial	$2,880.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,393.92
Rate for Payer: Qualcare PPO/HMO/WC	$864.00

NAIL Ti ELASTIC 2 5x440 475925

Facility

$1,120.00

Hospital Charge Code	270637518
Hospital Revenue Code	278
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$271.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

NAIL Ti ELASTIC 2 5x440 475925

Facility

$1,120.00

Hospital Charge Code	270637518
Hospital Revenue Code	278
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$560.00
Rate for Payer: Aetna Commercial	$336.00
Rate for Payer: Aetna Medicare Advantage	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.60
Rate for Payer: Cigna Commercial	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.04
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

Know your out-of-pocket cost for care.

All Charges