Heights University Hospital

All Charges

Charge

Type

Setting

Price

PIN APEX 5X150

Facility

$1,075.00

Hospital Charge Code	270664938
Hospital Revenue Code	270
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

PIN APEX 5X150

Facility

$1,075.00

Hospital Charge Code	270664938
Hospital Revenue Code	270
Min. Negotiated Rate	$139.75
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$322.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.75
Rate for Payer: Oxford Commercial	$537.50
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Commercial	$537.50

PIN APEX BLUE 5MM

Facility

$355.00

Service Code	HCPCS C1713
Hospital Charge Code	270669478
Hospital Revenue Code	278
Min. Negotiated Rate	$53.25
Max. Negotiated Rate	$177.50
Rate for Payer: Aetna Commercial	$106.50
Rate for Payer: Aetna Medicare Advantage	$106.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.53
Rate for Payer: Cigna Commercial	$177.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.91
Rate for Payer: Qualcare PPO/HMO/WC	$53.25

PIN APEX BLUE 5MM

Facility

$355.00

Service Code	HCPCS C1713
Hospital Charge Code	270669478
Hospital Revenue Code	278
Min. Negotiated Rate	$53.25
Max. Negotiated Rate	$85.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.91
Rate for Payer: Qualcare PPO/HMO/WC	$53.25

PIN APEX HALF S/D 4x120 30MM

Facility

$653.40

Service Code	HCPCS C1713
Hospital Charge Code	270647959
Hospital Revenue Code	278
Min. Negotiated Rate	$98.01
Max. Negotiated Rate	$158.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.12
Rate for Payer: Qualcare PPO/HMO/WC	$98.01

PIN APEX HALF S/D 4x120 30MM

Facility

$653.40

Service Code	HCPCS C1713
Hospital Charge Code	270647959
Hospital Revenue Code	278
Min. Negotiated Rate	$98.01
Max. Negotiated Rate	$326.70
Rate for Payer: Aetna Commercial	$196.02
Rate for Payer: Aetna Medicare Advantage	$196.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.62
Rate for Payer: Cigna Commercial	$326.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.12
Rate for Payer: Qualcare PPO/HMO/WC	$98.01

PIN APEX HALF S/D 5x120 35MM

Facility

$811.80

Hospital Charge Code	270674577
Hospital Revenue Code	278
Min. Negotiated Rate	$121.77
Max. Negotiated Rate	$405.90
Rate for Payer: Aetna Commercial	$243.54
Rate for Payer: Aetna Medicare Advantage	$243.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.01
Rate for Payer: Cigna Commercial	$405.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.46
Rate for Payer: Qualcare PPO/HMO/WC	$121.77

PIN APEX HALF S/D 5x120 35MM

Facility

$811.80

Hospital Charge Code	270674577
Hospital Revenue Code	278
Min. Negotiated Rate	$121.77
Max. Negotiated Rate	$196.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.46
Rate for Payer: Qualcare PPO/HMO/WC	$121.77

PIN APEX HALF S/D 5x150 40MM

Facility

$811.80

Service Code	HCPCS C1713
Hospital Charge Code	270647997
Hospital Revenue Code	278
Min. Negotiated Rate	$121.77
Max. Negotiated Rate	$196.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.46
Rate for Payer: Qualcare PPO/HMO/WC	$121.77

PIN APEX HALF S/D 5x150 40MM

Facility

$811.80

Service Code	HCPCS C1713
Hospital Charge Code	270647997
Hospital Revenue Code	278
Min. Negotiated Rate	$121.77
Max. Negotiated Rate	$405.90
Rate for Payer: Aetna Commercial	$243.54
Rate for Payer: Aetna Medicare Advantage	$243.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.01
Rate for Payer: Cigna Commercial	$405.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.46
Rate for Payer: Qualcare PPO/HMO/WC	$121.77

PIN APEX S/D 3 X 110 25 THR

Facility

$320.10

Hospital Charge Code	270702951
Hospital Revenue Code	278
Min. Negotiated Rate	$48.02
Max. Negotiated Rate	$160.05
Rate for Payer: Aetna Commercial	$96.03
Rate for Payer: Aetna Medicare Advantage	$96.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.63
Rate for Payer: Cigna Commercial	$160.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.46
Rate for Payer: Qualcare PPO/HMO/WC	$48.02

PIN APEX S/D 3 X 110 25 THR

Facility

$320.10

Hospital Charge Code	270702951
Hospital Revenue Code	278
Min. Negotiated Rate	$48.02
Max. Negotiated Rate	$77.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.46
Rate for Payer: Qualcare PPO/HMO/WC	$48.02

PIN APEX SELF TAPPING 4X120MM

Facility

$885.00

Hospital Charge Code	270669062
Hospital Revenue Code	278
Min. Negotiated Rate	$132.75
Max. Negotiated Rate	$442.50
Rate for Payer: Aetna Commercial	$265.50
Rate for Payer: Aetna Medicare Advantage	$265.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.68
Rate for Payer: Cigna Commercial	$442.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.17
Rate for Payer: Qualcare PPO/HMO/WC	$132.75

PIN APEX SELF TAPPING 4X120MM

Facility

$885.00

Hospital Charge Code	270669062
Hospital Revenue Code	278
Min. Negotiated Rate	$132.75
Max. Negotiated Rate	$214.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$177.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.17
Rate for Payer: Qualcare PPO/HMO/WC	$132.75

PIN APEX SLF DRL 3x80 50382080

Facility

$112.50

Hospital Charge Code	270647958
Hospital Revenue Code	278
Min. Negotiated Rate	$16.88
Max. Negotiated Rate	$27.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$16.88

PIN APEX SLF DRL 3x80 50382080

Facility

$112.50

Hospital Charge Code	270647958
Hospital Revenue Code	278
Min. Negotiated Rate	$16.88
Max. Negotiated Rate	$56.25
Rate for Payer: Aetna Commercial	$33.75
Rate for Payer: Aetna Medicare Advantage	$33.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.69
Rate for Payer: Cigna Commercial	$56.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$16.88

PIN APEX STERILE 5MMx200MM

Facility

$930.00

Service Code	HCPCS C1713
Hospital Charge Code	270650708
Hospital Revenue Code	278
Min. Negotiated Rate	$139.50
Max. Negotiated Rate	$225.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.06
Rate for Payer: Qualcare PPO/HMO/WC	$139.50

PIN APEX STERILE 5MMx200MM

Facility

$930.00

Service Code	HCPCS C1713
Hospital Charge Code	270650708
Hospital Revenue Code	278
Min. Negotiated Rate	$139.50
Max. Negotiated Rate	$465.00
Rate for Payer: Aetna Commercial	$279.00
Rate for Payer: Aetna Medicare Advantage	$279.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237.15
Rate for Payer: Cigna Commercial	$465.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.06
Rate for Payer: Qualcare PPO/HMO/WC	$139.50

PIN APEX STERILE 5MMx250MM

Facility

$1,025.00

Hospital Charge Code	270650707
Hospital Revenue Code	278
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$307.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.05
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

PIN APEX STERILE 5MMx250MM

Facility

$1,025.00

Hospital Charge Code	270650707
Hospital Revenue Code	278
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$248.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.05
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

PIN APEX STERILE 5x180MMPOST 3

Facility

$1,075.00

Hospital Charge Code	270648629
Hospital Revenue Code	278
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$322.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$215.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.15
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

PIN APEX STERILE 5x180MMPOST 3

Facility

$1,075.00

Hospital Charge Code	270648629
Hospital Revenue Code	278
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$260.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.15
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

PIN APEX TRANSFIXING

Facility

$1,000.00

Hospital Charge Code	270664939
Hospital Revenue Code	270
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

PIN APEX TRANSFIXING

Facility

$1,000.00

Hospital Charge Code	270664939
Hospital Revenue Code	270
Min. Negotiated Rate	$130.00
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$300.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.00
Rate for Payer: Oxford Commercial	$500.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$500.00

PIN ATK ACL 4 40 905854

Facility

$1,959.25

Hospital Charge Code	270627858
Hospital Revenue Code	278
Min. Negotiated Rate	$293.89
Max. Negotiated Rate	$474.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$391.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$474.14
Rate for Payer: Qualcare PPO/HMO/WC	$293.89

Know your out-of-pocket cost for care.

All Charges