Heights University Hospital

All Charges

Charge

Type

Setting

Price

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

OSTEOCEL 5CC

Facility

$13,250.00

Hospital Charge Code	270657288
Hospital Revenue Code	278
Min. Negotiated Rate	$1,987.50
Max. Negotiated Rate	$6,625.00
Rate for Payer: Aetna Commercial	$3,975.00
Rate for Payer: Aetna Medicare Advantage	$3,975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,378.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,378.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,378.75
Rate for Payer: Cigna Commercial	$6,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,206.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,987.50

OSTEOCEL 5CC

Facility

$13,250.00

Hospital Charge Code	270657288
Hospital Revenue Code	278
Min. Negotiated Rate	$1,987.50
Max. Negotiated Rate	$3,206.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,206.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,987.50

OSTEOCHONDRAL CORE 10 MM

Facility

$12,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270673913
Hospital Revenue Code	278
Min. Negotiated Rate	$1,871.25
Max. Negotiated Rate	$6,237.50
Rate for Payer: Aetna Commercial	$3,742.50
Rate for Payer: Aetna Medicare Advantage	$3,742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,181.12
Rate for Payer: Cigna Commercial	$6,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,018.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25

OSTEOCHONDRAL CORE 10 MM

Facility

$12,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270673913
Hospital Revenue Code	278
Min. Negotiated Rate	$1,871.25
Max. Negotiated Rate	$3,018.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,018.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25

OSTEOCHONDRAL FLAP REPAIR SET

Facility

$2,600.00

Hospital Charge Code	270675207
Hospital Revenue Code	272
Min. Negotiated Rate	$338.00
Max. Negotiated Rate	$1,300.00
Rate for Payer: Aetna Medicare Advantage	$780.00
Rate for Payer: Aetna Commercial	$780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$663.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$663.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$663.00
Rate for Payer: Cigna Commercial	$1,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.00
Rate for Payer: Oxford Commercial	$1,300.00
Rate for Payer: Qualcare PPO/HMO/WC	$390.00
Rate for Payer: UnitedHealthcare Commercial	$1,300.00

OSTEOCHONDRAL FLAP REPAIR SET

Facility

$2,600.00

Hospital Charge Code	270675207
Hospital Revenue Code	272
Min. Negotiated Rate	$390.00
Max. Negotiated Rate	$390.00
Rate for Payer: Qualcare PPO/HMO/WC	$390.00

OSTEOCURE BRILL SLEEVE SZ B9MM

Facility

$495.00

Hospital Charge Code	270335937
Hospital Revenue Code	272
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$74.25
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

OSTEOCURE BRILL SLEEVE SZ B9MM

Facility

$495.00

Hospital Charge Code	270335937
Hospital Revenue Code	272
Min. Negotiated Rate	$64.35
Max. Negotiated Rate	$247.50
Rate for Payer: Aetna Commercial	$148.50
Rate for Payer: Aetna Medicare Advantage	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.22
Rate for Payer: Cigna Commercial	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.35
Rate for Payer: Oxford Commercial	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$74.25
Rate for Payer: UnitedHealthcare Commercial	$247.50

OSTEOFACTOR PRO 5CC

Facility

$11,250.00

Service Code	HCPCS C1765
Hospital Charge Code	270705430
Hospital Revenue Code	278
Min. Negotiated Rate	$1,687.50
Max. Negotiated Rate	$5,625.00
Rate for Payer: Aetna Commercial	$3,375.00
Rate for Payer: Aetna Medicare Advantage	$3,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,868.75
Rate for Payer: Cigna Commercial	$5,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,722.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50

OSTEOFACTOR PRO 5CC

Facility

$11,250.00

Service Code	HCPCS C1765
Hospital Charge Code	270705430
Hospital Revenue Code	278
Min. Negotiated Rate	$1,687.50
Max. Negotiated Rate	$2,722.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,722.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50

OSTEOFIL BONE PASTE 5CC 002405

Facility

$4,137.65

Hospital Charge Code	270616298
Hospital Revenue Code	278
Min. Negotiated Rate	$620.65
Max. Negotiated Rate	$2,068.82
Rate for Payer: Aetna Commercial	$1,241.30
Rate for Payer: Aetna Medicare Advantage	$1,241.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,055.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,055.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$827.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,055.10
Rate for Payer: Cigna Commercial	$2,068.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,001.31
Rate for Payer: Qualcare PPO/HMO/WC	$620.65

OSTEOFIL BONE PASTE 5CC 002405

Facility

$4,137.65

Hospital Charge Code	270616298
Hospital Revenue Code	278
Min. Negotiated Rate	$620.65
Max. Negotiated Rate	$1,001.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$827.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,001.31
Rate for Payer: Qualcare PPO/HMO/WC	$620.65

OSTEOFLEX BONE CEMENT

Facility

$700.00

Hospital Charge Code	270703448
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

OSTEOFLEX BONE CEMENT

Facility

$700.00

Hospital Charge Code	270703448
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$210.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

OSTEOFLEX CEMENT/SYSTEM

Facility

$1,375.00

Hospital Charge Code	270703066
Hospital Revenue Code	278
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$332.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

OSTEOFLEX CEMENT/SYSTEM

Facility

$1,375.00

Hospital Charge Code	270703066
Hospital Revenue Code	278
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$412.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

OSTEOFLO NANOPUTTY 2.5CC

Facility

$4,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270693126
Hospital Revenue Code	278
Min. Negotiated Rate	$705.00
Max. Negotiated Rate	$1,137.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$940.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,137.40
Rate for Payer: Qualcare PPO/HMO/WC	$705.00

OSTEOFLO NANOPUTTY 2.5CC

Facility

$4,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270693126
Hospital Revenue Code	278
Min. Negotiated Rate	$705.00
Max. Negotiated Rate	$2,350.00
Rate for Payer: Aetna Commercial	$1,410.00
Rate for Payer: Aetna Medicare Advantage	$1,410.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,198.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,198.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$940.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,198.50
Rate for Payer: Cigna Commercial	$2,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,137.40
Rate for Payer: Qualcare PPO/HMO/WC	$705.00

OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS

Facility

$25,985.28

Service Code	APR-DRG 3444
Min. Negotiated Rate	$23,819.11
Max. Negotiated Rate	$25,985.28
Rate for Payer: Aetna Better Health Medicaid	$25,475.76
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,985.28
Rate for Payer: Wellpoint Medicaid Managed Care	$23,819.11

OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS

Facility

$11,483.65

Service Code	APR-DRG 3442
Min. Negotiated Rate	$8,648.40
Max. Negotiated Rate	$11,483.65
Rate for Payer: Aetna Better Health Medicaid	$11,258.48
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,483.65
Rate for Payer: Wellpoint Medicaid Managed Care	$8,648.40

OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS

Facility

$16,616.65

Service Code	APR-DRG 3443
Min. Negotiated Rate	$12,923.32
Max. Negotiated Rate	$16,616.65
Rate for Payer: Aetna Better Health Medicaid	$16,290.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,616.65
Rate for Payer: Wellpoint Medicaid Managed Care	$12,923.32

OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS

Facility

$9,061.07

Service Code	APR-DRG 3441
Min. Negotiated Rate	$6,849.55
Max. Negotiated Rate	$9,061.07
Rate for Payer: Aetna Better Health Medicaid	$8,883.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,061.07
Rate for Payer: Wellpoint Medicaid Managed Care	$6,849.55

OSTEOMYELITIS WITH CC

Facility

$49,448.28

Service Code	MSDRG 540
Min. Negotiated Rate	$14,145.98
Max. Negotiated Rate	$49,448.28
Rate for Payer: Aetna Commercial	$43,711.08
Rate for Payer: Aetna Medicare Advantage	$14,145.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35,837.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35,837.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,482.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35,837.10
Rate for Payer: Cigna Commercial	$27,897.67
Rate for Payer: Cigna Medicare Advantage	$16,482.76
Rate for Payer: Clover Medicare Advantage	$15,658.62
Rate for Payer: EmblemHealth Commercial	$49,448.28
Rate for Payer: Humana Medicare Advantage	$16,977.24
Rate for Payer: Oxford Commercial	$17,435.24
Rate for Payer: UnitedHealthcare Commercial	$19,790.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,482.76
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$17,471.73
Rate for Payer: Wellcare Medicare Advantage	$16,482.76

OSTEOMYELITIS WITH MCC

Facility

$68,994.21

Service Code	MSDRG 539
Min. Negotiated Rate	$21,494.51
Max. Negotiated Rate	$68,994.21
Rate for Payer: Aetna Commercial	$66,418.04
Rate for Payer: Aetna Medicare Advantage	$21,494.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54,582.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54,582.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,998.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54,582.66
Rate for Payer: Cigna Commercial	$42,389.91
Rate for Payer: Cigna Medicare Advantage	$22,998.07
Rate for Payer: Clover Medicare Advantage	$21,848.17
Rate for Payer: EmblemHealth Commercial	$68,994.21
Rate for Payer: Humana Medicare Advantage	$23,688.01
Rate for Payer: Oxford Commercial	$26,492.47
Rate for Payer: UnitedHealthcare Commercial	$30,071.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,998.07
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$24,377.95
Rate for Payer: Wellcare Medicare Advantage	$22,998.07

Know your out-of-pocket cost for care.

All Charges