Heights University Hospital

All Charges

Charge

Type

Setting

Price

OSTEOMYELITIS WITHOUT CC/MCC

Facility

$34,677.09

Service Code	MSDRG 541
Min. Negotiated Rate	$8,592.57
Max. Negotiated Rate	$34,677.09
Rate for Payer: Aetna Commercial	$26,551.04
Rate for Payer: Aetna Medicare Advantage	$8,592.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,707.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,707.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,559.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,707.62
Rate for Payer: Cigna Commercial	$16,603.45
Rate for Payer: Cigna Medicare Advantage	$11,559.03
Rate for Payer: Clover Medicare Advantage	$10,981.08
Rate for Payer: EmblemHealth Commercial	$34,677.09
Rate for Payer: Humana Medicare Advantage	$11,905.80
Rate for Payer: Oxford Commercial	$10,376.67
Rate for Payer: UnitedHealthcare Commercial	$11,778.49
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,559.03
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12,252.57
Rate for Payer: Wellcare Medicare Advantage	$11,559.03

OSTEO-P BONE GRAFT MATRIX 5CC

Facility

$16,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270697505
Hospital Revenue Code	278
Min. Negotiated Rate	$2,471.25
Max. Negotiated Rate	$8,237.50
Rate for Payer: Aetna Commercial	$4,942.50
Rate for Payer: Aetna Medicare Advantage	$4,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,201.12
Rate for Payer: Cigna Commercial	$8,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,986.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25

OSTEO-P BONE GRAFT MATRIX 5CC

Facility

$16,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270697505
Hospital Revenue Code	278
Min. Negotiated Rate	$2,471.25
Max. Negotiated Rate	$3,986.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,986.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25

OSTEOSELECT DBM 1CC

Facility

$4,950.00

Hospital Charge Code	270703500
Hospital Revenue Code	278
Min. Negotiated Rate	$742.50
Max. Negotiated Rate	$1,197.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$990.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,197.90
Rate for Payer: Qualcare PPO/HMO/WC	$742.50

OSTEOSELECT DBM 1CC

Facility

$4,950.00

Hospital Charge Code	270703500
Hospital Revenue Code	278
Min. Negotiated Rate	$742.50
Max. Negotiated Rate	$2,475.00
Rate for Payer: Aetna Commercial	$1,485.00
Rate for Payer: Aetna Medicare Advantage	$1,485.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,262.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,262.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,262.25
Rate for Payer: Cigna Commercial	$2,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,197.90
Rate for Payer: Qualcare PPO/HMO/WC	$742.50

OSTEOSELECT DBM 2.5CC

Facility

$1,700.00

Service Code	HCPCS C1762
Hospital Charge Code	270704125
Hospital Revenue Code	278
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$850.00
Rate for Payer: Aetna Commercial	$510.00
Rate for Payer: Aetna Medicare Advantage	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$340.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$433.50
Rate for Payer: Cigna Commercial	$850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.40
Rate for Payer: Qualcare PPO/HMO/WC	$255.00

OSTEOSELECT DBM 2.5CC

Facility

$1,700.00

Service Code	HCPCS C1762
Hospital Charge Code	270704125
Hospital Revenue Code	278
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$411.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$340.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.40
Rate for Payer: Qualcare PPO/HMO/WC	$255.00

OSTEOSLIM DBM PUTTY 5.0CC 9085

Facility

$3,283.60

Hospital Charge Code	270633428
Hospital Revenue Code	278
Min. Negotiated Rate	$492.54
Max. Negotiated Rate	$1,641.80
Rate for Payer: Aetna Commercial	$985.08
Rate for Payer: Aetna Medicare Advantage	$985.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$837.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$837.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$656.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$837.32
Rate for Payer: Cigna Commercial	$1,641.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$794.63
Rate for Payer: Qualcare PPO/HMO/WC	$492.54

OSTEOSLIM DBM PUTTY 5.0CC 9085

Facility

$3,283.60

Hospital Charge Code	270633428
Hospital Revenue Code	278
Min. Negotiated Rate	$492.54
Max. Negotiated Rate	$794.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$656.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$794.63
Rate for Payer: Qualcare PPO/HMO/WC	$492.54

OSTEOSPONGE FILLER 15CC

Facility

$5,735.00

Service Code	HCPCS C1889
Hospital Charge Code	270704120
Hospital Revenue Code	278
Min. Negotiated Rate	$860.25
Max. Negotiated Rate	$1,387.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,147.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,387.87
Rate for Payer: Qualcare PPO/HMO/WC	$860.25

OSTEOSPONGE FILLER 15CC

Facility

$5,735.00

Service Code	HCPCS C1889
Hospital Charge Code	270704120
Hospital Revenue Code	278
Min. Negotiated Rate	$860.25
Max. Negotiated Rate	$2,867.50
Rate for Payer: Aetna Commercial	$1,720.50
Rate for Payer: Aetna Medicare Advantage	$1,720.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,462.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,462.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,462.42
Rate for Payer: Cigna Commercial	$2,867.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,387.87
Rate for Payer: Qualcare PPO/HMO/WC	$860.25

OSTEO SPONGE FILLER 30.00 CC

Facility

$10,837.50

Service Code	HCPCS C1713
Hospital Charge Code	270686303
Hospital Revenue Code	278
Min. Negotiated Rate	$1,625.62
Max. Negotiated Rate	$2,622.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,622.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,625.62

OSTEO SPONGE FILLER 30.00 CC

Facility

$10,837.50

Service Code	HCPCS C1713
Hospital Charge Code	270686303
Hospital Revenue Code	278
Min. Negotiated Rate	$1,625.62
Max. Negotiated Rate	$5,418.75
Rate for Payer: Aetna Commercial	$3,251.25
Rate for Payer: Aetna Medicare Advantage	$3,251.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,763.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,763.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,167.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,763.56
Rate for Payer: Cigna Commercial	$5,418.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,622.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,625.62

OSTEOSPONGEFILLER FINE 30CC

Facility

$10,835.00

Hospital Charge Code	270701851
Hospital Revenue Code	278
Min. Negotiated Rate	$1,625.25
Max. Negotiated Rate	$2,622.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,167.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,622.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,625.25

OSTEOSPONGEFILLER FINE 30CC

Facility

$10,835.00

Hospital Charge Code	270701851
Hospital Revenue Code	278
Min. Negotiated Rate	$1,625.25
Max. Negotiated Rate	$5,417.50
Rate for Payer: Aetna Commercial	$3,250.50
Rate for Payer: Aetna Medicare Advantage	$3,250.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,762.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,762.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,167.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,762.93
Rate for Payer: Cigna Commercial	$5,417.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,622.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,625.25

OSTEOSURGE 300 PUTTY 2.5CC

Facility

$2,995.00

Service Code	HCPCS C1713
Hospital Charge Code	270694152
Hospital Revenue Code	278
Min. Negotiated Rate	$449.25
Max. Negotiated Rate	$1,497.50
Rate for Payer: Aetna Commercial	$898.50
Rate for Payer: Aetna Medicare Advantage	$898.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$763.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$763.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$599.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$763.73
Rate for Payer: Cigna Commercial	$1,497.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$724.79
Rate for Payer: Qualcare PPO/HMO/WC	$449.25

OSTEOSURGE 300 PUTTY 2.5CC

Facility

$2,995.00

Service Code	HCPCS C1713
Hospital Charge Code	270694152
Hospital Revenue Code	278
Min. Negotiated Rate	$449.25
Max. Negotiated Rate	$724.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$599.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$724.79
Rate for Payer: Qualcare PPO/HMO/WC	$449.25

OSTEOSURGE 300 PUTTY 5CC

Facility

$5,670.00

Service Code	HCPCS C1713
Hospital Charge Code	270694151
Hospital Revenue Code	278
Min. Negotiated Rate	$850.50
Max. Negotiated Rate	$1,372.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,134.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,372.14
Rate for Payer: Qualcare PPO/HMO/WC	$850.50

OSTEOSURGE 300 PUTTY 5CC

Facility

$5,670.00

Service Code	HCPCS C1713
Hospital Charge Code	270694151
Hospital Revenue Code	278
Min. Negotiated Rate	$850.50
Max. Negotiated Rate	$2,835.00
Rate for Payer: Aetna Commercial	$1,701.00
Rate for Payer: Aetna Medicare Advantage	$1,701.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,445.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,445.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,445.85
Rate for Payer: Cigna Commercial	$2,835.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,372.14
Rate for Payer: Qualcare PPO/HMO/WC	$850.50

OSTEOSURGE BN MATRIX SYR10CC

Facility

$18,650.00

Service Code	HCPCS C1713
Hospital Charge Code	270672817
Hospital Revenue Code	278
Min. Negotiated Rate	$2,797.50
Max. Negotiated Rate	$9,325.00
Rate for Payer: Aetna Commercial	$5,595.00
Rate for Payer: Aetna Medicare Advantage	$5,595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,755.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,755.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,730.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,755.75
Rate for Payer: Cigna Commercial	$9,325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,513.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,797.50

OSTEOSURGE BN MATRIX SYR10CC

Facility

$18,650.00

Service Code	HCPCS C1713
Hospital Charge Code	270672817
Hospital Revenue Code	278
Min. Negotiated Rate	$2,797.50
Max. Negotiated Rate	$4,513.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,730.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,513.30
Rate for Payer: Qualcare PPO/HMO/WC	$2,797.50

OSTEOSURGE BONE MATRIX 300CC

Facility

$4,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270694774
Hospital Revenue Code	278
Min. Negotiated Rate	$618.75
Max. Negotiated Rate	$2,062.50
Rate for Payer: Aetna Commercial	$1,237.50
Rate for Payer: Aetna Medicare Advantage	$1,237.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,051.88
Rate for Payer: Cigna Commercial	$2,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75

OSTEOSURGE BONE MATRIX 300CC

Facility

$4,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270694774
Hospital Revenue Code	278
Min. Negotiated Rate	$618.75
Max. Negotiated Rate	$998.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: Qualcare PPO/HMO/WC	$618.75

OSTEOT COTTON WEDGE 15X15X4MM

Facility

$19,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697160
Hospital Revenue Code	278
Min. Negotiated Rate	$2,925.00
Max. Negotiated Rate	$9,750.00
Rate for Payer: Aetna Commercial	$5,850.00
Rate for Payer: Aetna Medicare Advantage	$5,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,972.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,972.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,972.50
Rate for Payer: Cigna Commercial	$9,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,719.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,925.00

OSTEOT COTTON WEDGE 15X15X4MM

Facility

$19,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697160
Hospital Revenue Code	278
Min. Negotiated Rate	$2,925.00
Max. Negotiated Rate	$4,719.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,719.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,925.00

Know your out-of-pocket cost for care.

All Charges