Heights University Hospital

All Charges

Charge

Type

Setting

Price

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	$979.62
Rate for Payer: Aetna Commercial	$587.77
Rate for Payer: Aetna Medicare Advantage	$587.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$499.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$499.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$391.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$499.61
Rate for Payer: Cigna Commercial	$979.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$474.14
Rate for Payer: Qualcare PPO/HMO/WC	$293.89

PIN ATK ACL GRAFT 2.4 905844

Facility

$629.65

Hospital Charge Code	270627859
Hospital Revenue Code	278
Min. Negotiated Rate	$94.45
Max. Negotiated Rate	$152.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.38
Rate for Payer: Qualcare PPO/HMO/WC	$94.45

PIN ATK ACL GRAFT 2.4 905844

Facility

$629.65

Hospital Charge Code	270627859
Hospital Revenue Code	278
Min. Negotiated Rate	$94.45
Max. Negotiated Rate	$314.82
Rate for Payer: Aetna Commercial	$188.90
Rate for Payer: Aetna Medicare Advantage	$188.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.56
Rate for Payer: Cigna Commercial	$314.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.38
Rate for Payer: Qualcare PPO/HMO/WC	$94.45

PIN ATX DRL GUIDE 2.4 AR1250L

Facility

$576.00

Hospital Charge Code	270621135
Hospital Revenue Code	278
Min. Negotiated Rate	$86.40
Max. Negotiated Rate	$139.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.39
Rate for Payer: Qualcare PPO/HMO/WC	$86.40

PIN ATX DRL GUIDE 2.4 AR1250L

Facility

$576.00

Hospital Charge Code	270621135
Hospital Revenue Code	278
Min. Negotiated Rate	$86.40
Max. Negotiated Rate	$288.00
Rate for Payer: Aetna Commercial	$172.80
Rate for Payer: Aetna Medicare Advantage	$172.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.88
Rate for Payer: Cigna Commercial	$288.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.39
Rate for Payer: Qualcare PPO/HMO/WC	$86.40

PIN ATX GUIDE 1.5MM 1253

Facility

$460.85

Hospital Charge Code	270621134
Hospital Revenue Code	278
Min. Negotiated Rate	$69.13
Max. Negotiated Rate	$111.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.13

PIN ATX GUIDE 1.5MM 1253

Facility

$460.85

Hospital Charge Code	270621134
Hospital Revenue Code	278
Min. Negotiated Rate	$69.13
Max. Negotiated Rate	$230.43
Rate for Payer: Aetna Commercial	$138.25
Rate for Payer: Aetna Medicare Advantage	$138.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.52
Rate for Payer: Cigna Commercial	$230.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.53
Rate for Payer: Qualcare PPO/HMO/WC	$69.13

PINBALL JURGAN REF .028

Facility

$33.65

Hospital Charge Code	270601216
Hospital Revenue Code	272
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$16.82
Rate for Payer: Aetna Commercial	$10.10
Rate for Payer: Aetna Medicare Advantage	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.58
Rate for Payer: Cigna Commercial	$16.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.37
Rate for Payer: Oxford Commercial	$16.82
Rate for Payer: Qualcare PPO/HMO/WC	$5.05
Rate for Payer: UnitedHealthcare Commercial	$16.82

PINBALL JURGAN REF .028

Facility

$33.65

Hospital Charge Code	270601216
Hospital Revenue Code	272
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$5.05
Rate for Payer: Qualcare PPO/HMO/WC	$5.05

PINBALL JURGAN REF .035

Facility

$33.65

Hospital Charge Code	270601217
Hospital Revenue Code	272
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$5.05
Rate for Payer: Qualcare PPO/HMO/WC	$5.05

PINBALL JURGAN REF .035

Facility

$33.65

Hospital Charge Code	270601217
Hospital Revenue Code	272
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$16.82
Rate for Payer: Aetna Commercial	$10.10
Rate for Payer: Aetna Medicare Advantage	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.58
Rate for Payer: Cigna Commercial	$16.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.37
Rate for Payer: Oxford Commercial	$16.82
Rate for Payer: Qualcare PPO/HMO/WC	$5.05
Rate for Payer: UnitedHealthcare Commercial	$16.82

PINBALL JURGAN REF .035 W035

Facility

$23.35

Hospital Charge Code	270638421
Hospital Revenue Code	271
Min. Negotiated Rate	$3.04
Max. Negotiated Rate	$11.68
Rate for Payer: Aetna Commercial	$7.00
Rate for Payer: Aetna Medicare Advantage	$7.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.95
Rate for Payer: Cigna Commercial	$11.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.04
Rate for Payer: Oxford Commercial	$11.68
Rate for Payer: Qualcare PPO/HMO/WC	$3.50
Rate for Payer: UnitedHealthcare Commercial	$11.68

PINBALL JURGAN REF .035 W035

Facility

$23.35

Hospital Charge Code	270638421
Hospital Revenue Code	271
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$3.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.50

PINBALL JURGAN REF .045

Facility

$31.67

Hospital Charge Code	270601214
Hospital Revenue Code	272
Min. Negotiated Rate	$4.12
Max. Negotiated Rate	$15.84
Rate for Payer: Aetna Commercial	$9.50
Rate for Payer: Aetna Medicare Advantage	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.08
Rate for Payer: Cigna Commercial	$15.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.12
Rate for Payer: Oxford Commercial	$15.84
Rate for Payer: Qualcare PPO/HMO/WC	$4.75
Rate for Payer: UnitedHealthcare Commercial	$15.84

PINBALL JURGAN REF .045

Facility

$31.67

Hospital Charge Code	270601214
Hospital Revenue Code	272
Min. Negotiated Rate	$4.75
Max. Negotiated Rate	$4.75
Rate for Payer: Qualcare PPO/HMO/WC	$4.75

PINBALL JURGAN REF .062

Facility

$31.67

Hospital Charge Code	270601215
Hospital Revenue Code	272
Min. Negotiated Rate	$4.75
Max. Negotiated Rate	$4.75
Rate for Payer: Qualcare PPO/HMO/WC	$4.75

PINBALL JURGAN REF .062

Facility

$31.67

Hospital Charge Code	270601215
Hospital Revenue Code	272
Min. Negotiated Rate	$4.12
Max. Negotiated Rate	$15.84
Rate for Payer: Aetna Commercial	$9.50
Rate for Payer: Aetna Medicare Advantage	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.08
Rate for Payer: Cigna Commercial	$15.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.12
Rate for Payer: Oxford Commercial	$15.84
Rate for Payer: Qualcare PPO/HMO/WC	$4.75
Rate for Payer: UnitedHealthcare Commercial	$15.84

PINBALL JURGAN REF 3/32

Facility

$64.00

Hospital Charge Code	270601401
Hospital Revenue Code	272
Min. Negotiated Rate	$8.32
Max. Negotiated Rate	$32.00
Rate for Payer: Aetna Commercial	$19.20
Rate for Payer: Aetna Medicare Advantage	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.32
Rate for Payer: Cigna Commercial	$32.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.32
Rate for Payer: Oxford Commercial	$32.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.60
Rate for Payer: UnitedHealthcare Commercial	$32.00

PINBALL JURGAN REF 3/32

Facility

$64.00

Hospital Charge Code	270601401
Hospital Revenue Code	272
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.60

PINBALL JURGAN REF 5/64

Facility

$64.00

Hospital Charge Code	270601041
Hospital Revenue Code	272
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.60

PINBALL JURGAN REF 5/64

Facility

$33.65

Hospital Charge Code	270601040
Hospital Revenue Code	272
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$16.82
Rate for Payer: Aetna Commercial	$10.10
Rate for Payer: Aetna Medicare Advantage	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.58
Rate for Payer: Cigna Commercial	$16.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.37
Rate for Payer: Oxford Commercial	$16.82
Rate for Payer: Qualcare PPO/HMO/WC	$5.05
Rate for Payer: UnitedHealthcare Commercial	$16.82

PINBALL JURGAN REF 5/64

Facility

$64.00

Hospital Charge Code	270601041
Hospital Revenue Code	272
Min. Negotiated Rate	$8.32
Max. Negotiated Rate	$32.00
Rate for Payer: Aetna Commercial	$19.20
Rate for Payer: Aetna Medicare Advantage	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.32
Rate for Payer: Cigna Commercial	$32.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.32
Rate for Payer: Oxford Commercial	$32.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.60
Rate for Payer: UnitedHealthcare Commercial	$32.00

PINBALL JURGAN REF 5/64

Facility

$33.65

Hospital Charge Code	270601040
Hospital Revenue Code	272
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$5.05
Rate for Payer: Qualcare PPO/HMO/WC	$5.05

PIN BENDING 2.0MM LCP PLATE

Facility

$732.00

Hospital Charge Code	270676859
Hospital Revenue Code	272
Min. Negotiated Rate	$95.16
Max. Negotiated Rate	$366.00
Rate for Payer: Aetna Commercial	$219.60
Rate for Payer: Aetna Medicare Advantage	$219.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.66
Rate for Payer: Cigna Commercial	$366.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.16
Rate for Payer: Oxford Commercial	$366.00
Rate for Payer: Qualcare PPO/HMO/WC	$109.80
Rate for Payer: UnitedHealthcare Commercial	$366.00

PIN BENDING 2.0MM LCP PLATE

Facility

$732.00

Hospital Charge Code	270676859
Hospital Revenue Code	272
Min. Negotiated Rate	$109.80
Max. Negotiated Rate	$109.80
Rate for Payer: Qualcare PPO/HMO/WC	$109.80

Know your out-of-pocket cost for care.

All Charges