Heights University Hospital

All Charges

Charge

Type

Setting

Price

OSTEOAMP FLOWABLE 5.0CC

Facility

$12,639.65

Service Code	HCPCS C1889
Hospital Charge Code	270696321
Hospital Revenue Code	278
Min. Negotiated Rate	$1,895.95
Max. Negotiated Rate	$3,058.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,527.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,058.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,895.95

OSTEOAMP FLOWABLE 5.0CC

Facility

$12,639.65

Service Code	HCPCS C1889
Hospital Charge Code	270696321
Hospital Revenue Code	278
Min. Negotiated Rate	$1,895.95
Max. Negotiated Rate	$6,319.82
Rate for Payer: Aetna Commercial	$3,791.89
Rate for Payer: Aetna Medicare Advantage	$3,791.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,223.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,223.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,527.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,223.11
Rate for Payer: Cigna Commercial	$6,319.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,058.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,895.95

OSTEOAMP GRAFT FIBERS 15 CC OA

Facility

$31,205.00

Service Code	HCPCS C1889
Hospital Charge Code	270691812
Hospital Revenue Code	278
Min. Negotiated Rate	$4,680.75
Max. Negotiated Rate	$15,602.50
Rate for Payer: Aetna Commercial	$9,361.50
Rate for Payer: Aetna Medicare Advantage	$9,361.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,957.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,957.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,241.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,957.27
Rate for Payer: Cigna Commercial	$15,602.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,551.61
Rate for Payer: Qualcare PPO/HMO/WC	$4,680.75

OSTEOAMP GRAFT FIBERS 15 CC OA

Facility

$31,205.00

Service Code	HCPCS C1889
Hospital Charge Code	270691812
Hospital Revenue Code	278
Min. Negotiated Rate	$4,680.75
Max. Negotiated Rate	$7,551.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,241.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,551.61
Rate for Payer: Qualcare PPO/HMO/WC	$4,680.75

OSTEOAMP SEL FIBERS 10CC

Facility

$23,180.00

Service Code	HCPCS C1889
Hospital Charge Code	270691817
Hospital Revenue Code	278
Min. Negotiated Rate	$3,477.00
Max. Negotiated Rate	$11,590.00
Rate for Payer: Aetna Commercial	$6,954.00
Rate for Payer: Aetna Medicare Advantage	$6,954.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,910.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,910.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,636.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,910.90
Rate for Payer: Cigna Commercial	$11,590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,609.56
Rate for Payer: Qualcare PPO/HMO/WC	$3,477.00

OSTEOAMP SEL FIBERS 10CC

Facility

$23,180.00

Service Code	HCPCS C1889
Hospital Charge Code	270691817
Hospital Revenue Code	278
Min. Negotiated Rate	$3,477.00
Max. Negotiated Rate	$5,609.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,636.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,609.56
Rate for Payer: Qualcare PPO/HMO/WC	$3,477.00

OSTEOAMP SEL FIBERS 15CC

Facility

$31,205.00

Service Code	HCPCS C1889
Hospital Charge Code	270691815
Hospital Revenue Code	278
Min. Negotiated Rate	$4,680.75
Max. Negotiated Rate	$7,551.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,241.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,551.61
Rate for Payer: Qualcare PPO/HMO/WC	$4,680.75

OSTEOAMP SEL FIBERS 15CC

Facility

$31,205.00

Service Code	HCPCS C1889
Hospital Charge Code	270691815
Hospital Revenue Code	278
Min. Negotiated Rate	$4,680.75
Max. Negotiated Rate	$15,602.50
Rate for Payer: Aetna Commercial	$9,361.50
Rate for Payer: Aetna Medicare Advantage	$9,361.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,957.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,957.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,241.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,957.27
Rate for Payer: Cigna Commercial	$15,602.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,551.61
Rate for Payer: Qualcare PPO/HMO/WC	$4,680.75

OSTEOAMP SEL FIBERS 5CC

Facility

$13,740.00

Service Code	HCPCS C1889
Hospital Charge Code	270691816
Hospital Revenue Code	278
Min. Negotiated Rate	$2,061.00
Max. Negotiated Rate	$6,870.00
Rate for Payer: Aetna Commercial	$4,122.00
Rate for Payer: Aetna Medicare Advantage	$4,122.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,503.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,503.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,748.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,503.70
Rate for Payer: Cigna Commercial	$6,870.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,325.08
Rate for Payer: Qualcare PPO/HMO/WC	$2,061.00

OSTEOAMP SEL FIBERS 5CC

Facility

$13,740.00

Service Code	HCPCS C1889
Hospital Charge Code	270691816
Hospital Revenue Code	278
Min. Negotiated Rate	$2,061.00
Max. Negotiated Rate	$3,325.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,748.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,325.08
Rate for Payer: Qualcare PPO/HMO/WC	$2,061.00

OSTEOART ALGRFT W/SURF & B1

Facility

$15,955.20

Service Code	HCPCS 20932
Hospital Charge Code	1600000526
Hospital Revenue Code	360
Min. Negotiated Rate	$703.05
Max. Negotiated Rate	$4,786.56
Rate for Payer: Aetna Commercial	$4,786.56
Rate for Payer: Aetna Medicare Advantage	$4,786.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,068.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,068.58
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	$4,068.58
Rate for Payer: Cigna Commercial	$703.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,074.18
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,393.28
Rate for Payer: UnitedHealthcare Commercial	$1,686.00

OSTEOART ALGRFT W/SURF & B1

Facility

$15,955.20

Service Code	HCPCS 20932
Hospital Charge Code	1600000526
Hospital Revenue Code	360
Min. Negotiated Rate	$2,393.28
Max. Negotiated Rate	$2,393.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,393.28

OSTEOBOND BOWL SYSTEM *******

Facility

$125.00

Hospital Charge Code	1606342
Hospital Revenue Code	279
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

OSTEOBOND BOWL SYSTEM *******

Facility

$125.00

Hospital Charge Code	1606342
Hospital Revenue Code	279
Min. Negotiated Rate	$16.25
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$37.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.25
Rate for Payer: Oxford Commercial	$62.50
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$62.50

OSTEOBOND CEMENT LOW VISC.

Facility

$369.40

Hospital Charge Code	270656064
Hospital Revenue Code	271
Min. Negotiated Rate	$48.02
Max. Negotiated Rate	$184.70
Rate for Payer: Aetna Commercial	$110.82
Rate for Payer: Aetna Medicare Advantage	$110.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.20
Rate for Payer: Cigna Commercial	$184.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.02
Rate for Payer: Oxford Commercial	$184.70
Rate for Payer: Qualcare PPO/HMO/WC	$55.41
Rate for Payer: UnitedHealthcare Commercial	$184.70

OSTEOBOND CEMENT LOW VISC.

Facility

$369.40

Hospital Charge Code	270656064
Hospital Revenue Code	271
Min. Negotiated Rate	$55.41
Max. Negotiated Rate	$55.41
Rate for Payer: Qualcare PPO/HMO/WC	$55.41

OSTEOBOND VACUM MIXING KIT****

Facility

$215.00

Hospital Charge Code	1606334
Hospital Revenue Code	279
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

OSTEOBOND VACUM MIXING KIT****

Facility

$215.00

Hospital Charge Code	1606334
Hospital Revenue Code	279
Min. Negotiated Rate	$27.95
Max. Negotiated Rate	$107.50
Rate for Payer: Aetna Commercial	$64.50
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.95
Rate for Payer: Oxford Commercial	$107.50
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$107.50

OSTEOCALCIN

Facility

$211.39

Service Code	HCPCS 83937
Hospital Charge Code	38477182
Hospital Revenue Code	301
Min. Negotiated Rate	$31.71
Max. Negotiated Rate	$31.71
Rate for Payer: Qualcare PPO/HMO/WC	$31.71

OSTEOCALCIN

Facility

$211.39

Service Code	HCPCS 83937
Hospital Charge Code	38477182
Hospital Revenue Code	301
Min. Negotiated Rate	$14.93
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$96.71
Rate for Payer: Aetna Medicare Advantage	$29.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.37
Rate for Payer: Cigna Commercial	$29.85
Rate for Payer: Cigna Medicare Advantage	$14.93
Rate for Payer: Clover Medicare Advantage	$28.36
Rate for Payer: EmblemHealth Commercial	$89.55
Rate for Payer: Humana Medicare Advantage	$30.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.48
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.71
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.85
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$31.64
Rate for Payer: Wellcare Medicare Advantage	$29.85

OSTEOCALCIN (SERUM)

Facility

$307.25

Service Code	HCPCS 83937
Hospital Charge Code	3008935
Hospital Revenue Code	301
Min. Negotiated Rate	$46.09
Max. Negotiated Rate	$46.09
Rate for Payer: Qualcare PPO/HMO/WC	$46.09

OSTEOCALCIN (SERUM)

Facility

$307.25

Service Code	HCPCS 83937
Hospital Charge Code	3008935
Hospital Revenue Code	301
Min. Negotiated Rate	$14.93
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$96.71
Rate for Payer: Aetna Medicare Advantage	$29.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.37
Rate for Payer: Cigna Commercial	$29.85
Rate for Payer: Cigna Medicare Advantage	$14.93
Rate for Payer: Clover Medicare Advantage	$28.36
Rate for Payer: EmblemHealth Commercial	$89.55
Rate for Payer: Humana Medicare Advantage	$30.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.94
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.09
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.85
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$31.64
Rate for Payer: Wellcare Medicare Advantage	$29.85

OSTEOCEL 10CC

Facility

$23,100.00

Hospital Charge Code	270657287
Hospital Revenue Code	272
Min. Negotiated Rate	$3,465.00
Max. Negotiated Rate	$3,465.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,465.00

OSTEOCEL 10CC

Facility

$23,100.00

Hospital Charge Code	270657287
Hospital Revenue Code	272
Min. Negotiated Rate	$3,003.00
Max. Negotiated Rate	$11,550.00
Rate for Payer: Aetna Commercial	$6,930.00
Rate for Payer: Aetna Medicare Advantage	$6,930.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,890.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,890.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,890.50
Rate for Payer: Cigna Commercial	$11,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,003.00
Rate for Payer: Oxford Commercial	$11,550.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,465.00
Rate for Payer: UnitedHealthcare Commercial	$11,550.00

OSTEOCEL 15CC

Facility

$28,350.00

Hospital Charge Code	270657313
Hospital Revenue Code	272
Min. Negotiated Rate	$3,685.50
Max. Negotiated Rate	$14,175.00
Rate for Payer: Aetna Commercial	$8,505.00
Rate for Payer: Aetna Medicare Advantage	$8,505.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,229.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,229.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,229.25
Rate for Payer: Cigna Commercial	$14,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,685.50
Rate for Payer: Oxford Commercial	$14,175.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,252.50
Rate for Payer: UnitedHealthcare Commercial	$14,175.00

Know your out-of-pocket cost for care.

All Charges