Heights University Hospital

All Charges

Charge

Type

Setting

Price

PIN 12 THR 1.65 MM X 45 MM

Facility

$661.00

Service Code	HCPCS C1713
Hospital Charge Code	270688789
Hospital Revenue Code	278
Min. Negotiated Rate	$99.15
Max. Negotiated Rate	$159.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.96
Rate for Payer: Qualcare PPO/HMO/WC	$99.15

PIN 14MM CASPAR DISTRACTOR

Facility

$4,695.00

Service Code	HCPCS C1713
Hospital Charge Code	270657251
Hospital Revenue Code	278
Min. Negotiated Rate	$704.25
Max. Negotiated Rate	$1,136.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$939.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,136.19
Rate for Payer: Qualcare PPO/HMO/WC	$704.25

PIN 14MM CASPAR DISTRACTOR

Facility

$4,695.00

Service Code	HCPCS C1713
Hospital Charge Code	270657251
Hospital Revenue Code	278
Min. Negotiated Rate	$704.25
Max. Negotiated Rate	$2,347.50
Rate for Payer: Aetna Commercial	$1,408.50
Rate for Payer: Aetna Medicare Advantage	$1,408.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,197.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,197.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$939.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,197.22
Rate for Payer: Cigna Commercial	$2,347.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,136.19
Rate for Payer: Qualcare PPO/HMO/WC	$704.25

PIN 2.4MM

Facility

$1,485.00

Hospital Charge Code	270684912
Hospital Revenue Code	272
Min. Negotiated Rate	$222.75
Max. Negotiated Rate	$222.75
Rate for Payer: Qualcare PPO/HMO/WC	$222.75

PIN 2.4MM

Facility

$1,485.00

Hospital Charge Code	270684912
Hospital Revenue Code	272
Min. Negotiated Rate	$193.05
Max. Negotiated Rate	$742.50
Rate for Payer: Aetna Commercial	$445.50
Rate for Payer: Aetna Medicare Advantage	$445.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$378.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$378.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$378.68
Rate for Payer: Cigna Commercial	$742.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.05
Rate for Payer: Oxford Commercial	$742.50
Rate for Payer: Qualcare PPO/HMO/WC	$222.75
Rate for Payer: UnitedHealthcare Commercial	$742.50

PIN 3.0MM THREADED 305MM

Facility

$470.00

Hospital Charge Code	270661012
Hospital Revenue Code	278
Min. Negotiated Rate	$70.50
Max. Negotiated Rate	$113.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.74
Rate for Payer: Qualcare PPO/HMO/WC	$70.50

PIN 3.0MM THREADED 305MM

Facility

$470.00

Hospital Charge Code	270661012
Hospital Revenue Code	278
Min. Negotiated Rate	$70.50
Max. Negotiated Rate	$235.00
Rate for Payer: Aetna Commercial	$141.00
Rate for Payer: Aetna Medicare Advantage	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$94.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.85
Rate for Payer: Cigna Commercial	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.74
Rate for Payer: Qualcare PPO/HMO/WC	$70.50

PIN 40 X 110MM

Facility

$676.00

Service Code	HCPCS C1713
Hospital Charge Code	270691972
Hospital Revenue Code	278
Min. Negotiated Rate	$101.40
Max. Negotiated Rate	$338.00
Rate for Payer: Aetna Commercial	$202.80
Rate for Payer: Aetna Medicare Advantage	$202.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.38
Rate for Payer: Cigna Commercial	$338.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.59
Rate for Payer: Qualcare PPO/HMO/WC	$101.40

PIN 40 X 110MM

Facility

$676.00

Service Code	HCPCS C1713
Hospital Charge Code	270691972
Hospital Revenue Code	278
Min. Negotiated Rate	$101.40
Max. Negotiated Rate	$163.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.59
Rate for Payer: Qualcare PPO/HMO/WC	$101.40

PIN 5 TRANFIX 300x60 FF1130060

Facility

$669.65

Hospital Charge Code	270632650
Hospital Revenue Code	278
Min. Negotiated Rate	$100.45
Max. Negotiated Rate	$334.82
Rate for Payer: Aetna Commercial	$200.90
Rate for Payer: Aetna Medicare Advantage	$200.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.76
Rate for Payer: Cigna Commercial	$334.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.06
Rate for Payer: Qualcare PPO/HMO/WC	$100.45

PIN 5 TRANFIX 300x60 FF1130060

Facility

$669.65

Hospital Charge Code	270632650
Hospital Revenue Code	278
Min. Negotiated Rate	$100.45
Max. Negotiated Rate	$162.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$133.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.06
Rate for Payer: Qualcare PPO/HMO/WC	$100.45

PIN ABSORABLE 40X2MM

Facility

$1,907.50

Hospital Charge Code	270650740
Hospital Revenue Code	278
Min. Negotiated Rate	$286.12
Max. Negotiated Rate	$953.75
Rate for Payer: Aetna Commercial	$572.25
Rate for Payer: Aetna Medicare Advantage	$572.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$486.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$486.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$381.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$486.41
Rate for Payer: Cigna Commercial	$953.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$461.62
Rate for Payer: Qualcare PPO/HMO/WC	$286.12

PIN ABSORABLE 40X2MM

Facility

$1,907.50

Hospital Charge Code	270650740
Hospital Revenue Code	278
Min. Negotiated Rate	$286.12
Max. Negotiated Rate	$461.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$381.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$461.62
Rate for Payer: Qualcare PPO/HMO/WC	$286.12

PIN ABSORABLE ORTHOSORB

Facility

$1,100.00

Hospital Charge Code	270657443
Hospital Revenue Code	278
Min. Negotiated Rate	$165.00
Max. Negotiated Rate	$266.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.20
Rate for Payer: Qualcare PPO/HMO/WC	$165.00

PIN ABSORABLE ORTHOSORB

Facility

$1,100.00

Hospital Charge Code	270657443
Hospital Revenue Code	278
Min. Negotiated Rate	$165.00
Max. Negotiated Rate	$550.00
Rate for Payer: Aetna Commercial	$330.00
Rate for Payer: Aetna Medicare Advantage	$330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.50
Rate for Payer: Cigna Commercial	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.20
Rate for Payer: Qualcare PPO/HMO/WC	$165.00

PIN ACL CROSSPIN 4x50 905853

Facility

$1,939.45

Hospital Charge Code	270633600
Hospital Revenue Code	278
Min. Negotiated Rate	$290.92
Max. Negotiated Rate	$969.73
Rate for Payer: Aetna Commercial	$581.84
Rate for Payer: Aetna Medicare Advantage	$581.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$494.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$494.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$387.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$494.56
Rate for Payer: Cigna Commercial	$969.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.35
Rate for Payer: Qualcare PPO/HMO/WC	$290.92

PIN ACL CROSSPIN 4x50 905853

Facility

$1,939.45

Hospital Charge Code	270633600
Hospital Revenue Code	278
Min. Negotiated Rate	$290.92
Max. Negotiated Rate	$469.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$387.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.35
Rate for Payer: Qualcare PPO/HMO/WC	$290.92

PIN ALIGNMENT 4301-02-03

Facility

$735.00

Hospital Charge Code	270637581
Hospital Revenue Code	272
Min. Negotiated Rate	$110.25
Max. Negotiated Rate	$110.25
Rate for Payer: Qualcare PPO/HMO/WC	$110.25

PIN ALIGNMENT 4301-02-03

Facility

$735.00

Hospital Charge Code	270637581
Hospital Revenue Code	272
Min. Negotiated Rate	$95.55
Max. Negotiated Rate	$367.50
Rate for Payer: Aetna Commercial	$220.50
Rate for Payer: Aetna Medicare Advantage	$220.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.43
Rate for Payer: Cigna Commercial	$367.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.55
Rate for Payer: Oxford Commercial	$367.50
Rate for Payer: Qualcare PPO/HMO/WC	$110.25
Rate for Payer: UnitedHealthcare Commercial	$367.50

PIN ANKLE 4x150MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270677300
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

PIN ANKLE 4x150MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270677300
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

PIN ANKLE 5x200MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270677298
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$195.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

PIN ANKLE 5x200MM

Facility

$650.00

Service Code	HCPCS C1713
Hospital Charge Code	270677298
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.30
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

PIN ANKLE FIXAT TM 5X200X80MM

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270695545
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$180.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

PIN ANKLE FIXAT TM 5X200X80MM

Facility

$600.00

Service Code	HCPCS C1713
Hospital Charge Code	270695545
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

Know your out-of-pocket cost for care.

All Charges